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General NPI Number Information
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NPI Number | 1497370191
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Entity Type | Individual
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Provider Name | KAREN SHUGART PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1132 N CHURCH ST STE 101
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City | GREENSBORO
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State | NC
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Zip | 27401-1040
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Country | US
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Telephone | 855-501-1004
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Fax | 833-410-2623
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Provider Business Mailing Address
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Address Line | 3835 N FREEWAY BLVD STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95834-1954
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Country | US
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Telephone | 916-576-7900
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5013227
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5013227
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License Number State | NC
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