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General NPI Number Information
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NPI Number | 1437362597
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Entity Type | Individual
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Provider Name | KAREN DALE UNGER APRN, LMHC, ED.D.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 1802 MAIN STREET
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City | VALRICO
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State | FL
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Zip | 33594-6726
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Country | US
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Telephone | 813-657-0374
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Fax | 813-684-1404
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Provider Business Mailing Address
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Address Line | 1802 MAIN ST
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City | VALRICO
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State | FL
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Zip | 33594-6726
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Country | US
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Telephone | 813-657-0374
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Fax | 813-684-1404
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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 | MH6433
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License Number State | FL
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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 | 11008343
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License Number State | FL
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