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General NPI Number Information
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NPI Number | 1508911207
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Entity Type | Individual
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Provider Name | KAREN L DITTMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 149M HIGHWAY 31
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City | FLEMINGTON
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State | NJ
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Zip | 08822
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Country | US
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Telephone | 908-782-7700
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Fax | 908-782-3644
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Provider Business Mailing Address
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Address Line | 59 ROUTE 22
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City | CLINTON
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State | NJ
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Zip | 08809-1342
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Country | US
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Telephone | 908-730-6363
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Fax | 908-730-8185
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00040400
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License Number State | NJ
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