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General NPI Number Information
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NPI Number | 1487650248
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Entity Type | Individual
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Provider Name | KAREN M CHEESEMAN APRN, BC
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Gender | Female
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1943 SAYBROOK CT
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City | JONESBORO
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State | GA
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Zip | 30236-2681
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Country | US
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Telephone | 770-478-6091
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Fax | 770-478-6875
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Provider Business Mailing Address
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Address Line | 1943 SAYBROOK CT
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City | JONESBORO
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State | GA
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Zip | 30236-2681
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Country | US
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Telephone | 770-478-5918
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Fax | 770-478-6875
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN101507
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License Number State | GA
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