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General NPI Number Information
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NPI Number | 1376961409
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Entity Type | Individual
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Provider Name | KAREN POWELL
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Gender | Female
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Dates
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Enumeration Date | 04/05/2014
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 2450 RIVERSIDE AVE # F275
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City | MINNEAPOLIS
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State | MN
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Zip | 55454-1450
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Country | US
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Telephone | 612-273-8700
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Fax | 612-273-8727
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Provider Business Mailing Address
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Address Line | 2312 S 6TH ST FLOOR 2, SUITE F275
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City | MINNEAPOLIS
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State | MN
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Zip | 55454
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Country | US
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Telephone | 612-625-3330
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Fax | 612-273-9774
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DO-05213
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 74501
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License Number State | MN
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