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General NPI Number Information
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NPI Number | 1528270949
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Entity Type | Individual
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Provider Name | KAREN CORCORAN MCGLASHAN D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/06/2007
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 504 PASADENA AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33707-2126
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Country | US
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Telephone | 727-456-9504
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Fax |
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Provider Business Mailing Address
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Address Line | 504 PASADENA AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33707-2126
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Country | US
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Telephone | 727-456-9504
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Fax | 954-566-2037
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | CH7560
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License Number State | FL
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