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General NPI Number Information
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NPI Number | 1356904502
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Entity Type | Individual
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Provider Name | KARA GENO APN
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Gender | Female
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 74785 US HIGHWAY 111 STE 101
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City | INDIAN WELLS
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State | CA
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Zip | 92210-7129
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Country | US
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Telephone | 760-776-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 8063 BURGUNDY CIR
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City | CHATTANOOGA
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State | TN
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Zip | 37421-1290
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Country | US
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Telephone | 423-361-2288
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 25754
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5021288
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-83666-092
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95033665
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License Number State | CA
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