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General NPI Number Information
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NPI Number | 1396670089
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Entity Type | Individual
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Provider Name | KAREEN ERICA NATHAN
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Gender | Female
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 300 W FERRY ST
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-1109
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Country | US
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Telephone | 269-210-1346
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Fax |
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Provider Business Mailing Address
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Address Line | 8689 US HIGHWAY 31 APT 239
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-9003
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Country | US
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Telephone | 269-210-1346
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451024472
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License Number State | MI
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