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General NPI Number Information
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NPI Number | 1275670374
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Entity Type | Organization
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Legal Business Name | KAREN CANN
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 4657 GULF BREEZE PKWY. SUITES A & B
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City | GULF BREEZE
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State | FL
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Zip | 32563
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Country | US
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Telephone | 850-916-9304
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Fax | 850-916-9306
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Provider Business Mailing Address
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Address Line | 4657 GULF BREEZE PKWY. SUITE A
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City | GULF BREEZE
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State | FL
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Zip | 32563
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Country | US
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Telephone | 850-916-9304
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Fax | 850-916-9306
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAREN A CANN
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Credential | D.C., L.P.T.
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Telephone | 850-916-9304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT20841
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8649
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License Number State | FL
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