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General NPI Number Information
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NPI Number | 1548190556
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Entity Type | Individual
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Provider Name | KAREN S MOORE
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Gender |
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Dates
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Enumeration Date | 05/21/2026
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Last Update Date | 05/21/2026
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Provider Practice Location Address
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Address Line | 150 E MAIN ST
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City | DONNELSVILLE
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State | OH
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Zip | 45319-5033
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Country | US
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Telephone | 937-845-4540
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Fax | 937-882-6192
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Provider Business Mailing Address
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Address Line | 150 E MAIN ST
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City | DONNELSVILLE
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State | OH
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Zip | 45319-5033
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Country | US
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Telephone | 937-845-4540
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Fax | 937-882-6192
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | RN380214
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License Number State | OH
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