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General NPI Number Information
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NPI Number | 1326061276
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Entity Type | Individual
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Provider Name | KAREN S. FRALEY PHARM D
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 310 W LOSEY ST 375 MDSS/SGSP
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City | SCOTT AFB
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State | IL
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Zip | 62225-5250
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Country | US
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Telephone | 618-256-4741
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Fax | 618-256-4303
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Provider Business Mailing Address
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Address Line | 710 VICTORIA LN
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City | O FALLON
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State | IL
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Zip | 62269-6808
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Country | US
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Telephone | 618-256-4741
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Fax | 618-256-4303
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10566
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License Number State | NC
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