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General NPI Number Information
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NPI Number | 1356507339
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Entity Type | Individual
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Provider Name | KAREN ANN TOURTELOT NP
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Gender | Female
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | CENTRAL NEW YORK PSYCHIATRIC CENTER RIVER RD
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City | MARCY
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State | NY
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Zip | 13403
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Country | US
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Telephone | 315-765-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 10294 MAPLEDALE RD
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City | HOLLAND PATENT
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State | NY
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Zip | 13354-4719
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Country | US
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Telephone | 315-865-5127
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | F400872-1
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License Number State | NY
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