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General NPI Number Information
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NPI Number | 1275627952
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Entity Type | Individual
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Provider Name | KAREN L SPENCER ACNP-BC CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 50 IRVING STREET N.W.
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City | WASHINGTON
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State | DC
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Zip | 20422
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Country | US
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Telephone | 202-745-5616
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Fax |
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Provider Business Mailing Address
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Address Line | 12818 CAROUSEL CT
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-6402
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Country | US
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Telephone | 313-478-6338
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R162713
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License Number State | MD
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