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General NPI Number Information
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NPI Number | 1447460811
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Entity Type | Organization
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Legal Business Name | KAREN MURRAY RADLEY M.D.PC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/05/2019
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Provider Practice Location Address
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Address Line | 965 E 700 S STE 300
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City | ST GEORGE
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State | UT
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Zip | 84790-4082
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Country | US
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Telephone | 435-673-4644
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Fax | 855-222-7622
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Provider Business Mailing Address
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Address Line | 965 E 700 S STE 300
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City | ST GEORGE
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State | UT
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Zip | 84790-4086
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Country | US
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Telephone | 435-673-4644
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Fax | 855-222-7622
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAREN M RADLEY
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Credential | MD
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Telephone | 435-673-4644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | Z67908
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License Number State | UT
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