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General NPI Number Information
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NPI Number | 1275539066
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Entity Type | Individual
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Provider Name | KAREN P HAVERLY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 184 EAST ST
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City | PLAINVILLE
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State | CT
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Zip | 06062-2913
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Country | US
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Telephone | 860-747-5766
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Fax | 860-747-2028
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Provider Business Mailing Address
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Address Line | 300 KENSINGTON AVE
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City | NEW BRITAIN
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State | CT
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Zip | 06051-3916
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Country | US
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Telephone | 860-747-0730
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Fax | 860-747-2028
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 030435
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License Number State | CT
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