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General NPI Number Information
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NPI Number | 1437268455
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Entity Type | Individual
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Provider Name | KAREN RUTH HAUDE MPAS PAC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 4240 MUNSON ST NW SUITE B
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City | CANTON
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State | OH
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Zip | 44718
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Country | US
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Telephone | 330-492-2327
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Fax | 330-492-0953
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Provider Business Mailing Address
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Address Line | 1038 DELL CIR NW
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City | CANTON
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State | OH
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Zip | 44720-3252
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Country | US
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Telephone | 330-494-2072
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Fax | 330-494-2072
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50001125
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License Number State | OH
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