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General NPI Number Information
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NPI Number | 1306870951
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Entity Type | Individual
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Provider Name | KAREN G. HYATT M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 300 59TH ST
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-2261
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Country | US
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Telephone | 636-498-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 4750 MEXICO RD
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City | SAINT PETERS
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State | MO
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Zip | 63376-1663
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Country | US
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Telephone | 636-498-4555
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 0101055288
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 57186
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 57186
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 118237
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License Number State | MO
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