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General NPI Number Information
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NPI Number | 1538566377
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Entity Type | Organization
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Legal Business Name | JENNIFER D KARMELY PH D, PLLC
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 3196 S MARYLAND PKWY STE 400
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City | LAS VEGAS
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State | NV
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Zip | 89109-2315
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Country | US
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Telephone | 702-902-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 3207 FONTANA COLONY CT
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City | N LAS VEGAS
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State | NV
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Zip | 89031-0808
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER D KARMELY
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Credential |
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Telephone | 702-580-4196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY 0522
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License Number State | NV
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