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General NPI Number Information
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NPI Number | 1265667539
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Entity Type | Individual
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Provider Name | KAREN OWENS POPE LMT
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Gender | Female
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Dates
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Enumeration Date | 05/15/2009
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Last Update Date | 05/15/2009
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Provider Practice Location Address
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Address Line | 53B EGRET LN.
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585
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Country | US
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Telephone | 843-235-2324
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Fax |
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Provider Business Mailing Address
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Address Line | 179 TOWHEE ST.
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City | GEORGETOWN
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State | SC
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Zip | 29440
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Country | US
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Telephone | 843-446-3436
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | LMT4237
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License Number State | SC
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