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General NPI Number Information
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NPI Number | 1386852259
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Entity Type | Individual
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Provider Name | KAREN NORMAN LMP
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 459 N 36TH ST
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City | SEATTLE
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State | WA
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Zip | 98103-8630
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Country | US
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Telephone | 206-407-9498
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Fax |
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Provider Business Mailing Address
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Address Line | 716 N 43RD ST APT B
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City | SEATTLE
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State | WA
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Zip | 98103-7289
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Country | US
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Telephone | 206-407-9498
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA00015726
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License Number State | WA
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