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General NPI Number Information
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NPI Number | 1275954778
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Entity Type | Individual
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Provider Name | KARLA WEBB APN
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Gender | Female
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Dates
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Enumeration Date | 12/31/2013
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 2 GOOD SAMARITAN WAY SUITE 220
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City | MOUNT VERNON
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State | IL
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Zip | 62864-2408
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Country | US
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Telephone | 618-899-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 15424 SNOWFLAKE ROAD
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City | EWING
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State | IL
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Zip | 62836-1126
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Country | US
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Telephone |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 209011249
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209011249
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License Number State | IL
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