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General NPI Number Information
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NPI Number | 1295185882
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Entity Type | Individual
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Provider Name | KAREN M. CHASE APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 642 E BROAD ST
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City | PATASKALA
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State | OH
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Zip | 43062-7627
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Country | US
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Telephone | 614-685-2805
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Fax | 614-293-1783
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-685-2805
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Fax | 614-293-1783
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704271180
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0036498
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4017769
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 4704271180
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0036498
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License Number State | OH
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