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General NPI Number Information
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NPI Number | 1346767563
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Entity Type | Individual
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Provider Name | KARMIN RENAE MAHER-HASSE NP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 12/21/2025
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Provider Practice Location Address
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Address Line | 1050 SW 3RD AVE STE 1800
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City | ONTARIO
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State | OR
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Zip | 97914-2193
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Country | US
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Telephone | 208-302-0000
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Fax | 208-302-0000
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Provider Business Mailing Address
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Address Line | PO BOX 190930
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City | BOISE
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State | ID
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Zip | 83719-0930
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 200242161RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | TEMP65149
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10031857
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License Number State | OR
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