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General NPI Number Information
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NPI Number | 1346321304
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Entity Type | Organization
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Legal Business Name | K.A.R.N. INC.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 302 BLEND ST
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City | BAY CITY
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State | MI
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Zip | 48706-4302
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Country | US
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Telephone | 989-671-0779
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Fax |
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Provider Business Mailing Address
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Address Line | 4717 WILLOW DR
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City | BAY CITY
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State | MI
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Zip | 48706-2647
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Country | US
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Telephone | 989-529-5869
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Fax | 989-671-2154
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | KERRY A. HANOVER
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Credential |
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Telephone | 989-529-5869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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