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General NPI Number Information
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NPI Number | 1376965202
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Entity Type | Individual
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Provider Name | KAREN ANN NEWSOME RN, MSN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/13/2014
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 677 E MAIN ST
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City | CENTREVILLE
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State | MI
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Zip | 49032-8524
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Country | US
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Telephone | 269-467-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 3614 WOODBRIDGE LN
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City | PORTAGE
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State | MI
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Zip | 49024-4092
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Country | US
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Telephone | 269-274-3029
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704218970
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G135840
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License Number State | IA
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