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General NPI Number Information
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NPI Number | 1548835374
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Entity Type | Individual
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Provider Name | KAREN MARIE SAGNER
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Gender | Female
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 800 SHARE DR
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City | ALVA
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State | OK
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Zip | 73717-3618
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Country | US
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Telephone | 580-430-3325
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Fax | 580-430-3317
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Provider Business Mailing Address
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Address Line | 30587 COUNTY ROAD 440
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City | ALVA
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State | OK
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Zip | 73717-9687
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Country | US
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Telephone | 503-332-5728
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 202101364NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 206125
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License Number State | OK
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