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General NPI Number Information
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NPI Number | 1528093424
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Entity Type | Individual
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Provider Name | KAREN LYNN CONNER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | 721 THOMPSON DR
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City | KERRVILLE
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State | TX
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Zip | 78028-5154
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Country | US
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Telephone | 830-296-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 419 LELAND ST
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City | KERRVILLE
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State | TX
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Zip | 78028-3112
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Country | US
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Telephone | 773-405-5737
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 37486
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License Number State | TX
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