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General NPI Number Information
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NPI Number | 1447433420
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Entity Type | Organization
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Legal Business Name | KAREN L FERGUSON MD PA
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 07/08/2009
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Provider Practice Location Address
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Address Line | 3755 7TH TER SUITE 302A
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City | VERO BEACH
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State | FL
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Zip | 32960-6528
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Country | US
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Telephone | 772-299-0721
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Fax | 772-299-0723
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Provider Business Mailing Address
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Address Line | 3755 7TH TERRACE SUITE 302A
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City | VERO BEACH
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State | FL
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Zip | 32960-6557
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Country | US
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Telephone | 772-299-0721
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Fax | 772-299-0723
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAREN LOUISE FERGUSON
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Credential | M.D.
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Telephone | 772-299-0721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME37491
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License Number State | FL
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