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General NPI Number Information
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NPI Number | 1356763874
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Entity Type | Individual
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Provider Name | KARLA MITCHELL ND
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Gender | Female
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 22000 GRAND RIVER AVE # 300
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City | DETROIT
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State | MI
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Zip | 48219-3262
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Country | US
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Telephone | 313-946-9644
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Fax |
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Provider Business Mailing Address
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Address Line | 22000 GRAND RIVER AVE # 300
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City | DETROIT
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State | MI
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Zip | 48219-3262
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Country | US
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Telephone | 313-946-9644
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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Taxonomy #3
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Taxonomy Code | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number |
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Taxonomy #4
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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Taxonomy #5
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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Taxonomy #6
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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Taxonomy #7
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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