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General NPI Number Information
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NPI Number | 1568918951
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Entity Type | Individual
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Provider Name | KAREN ANNE CARPENTER CMT
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Gender | Female
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 6512 E WASHINGTON ST INDIANAPOLIS, IN
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-6633
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Country | US
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Telephone | 317-525-8388
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Fax | 317-377-4706
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Provider Business Mailing Address
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Address Line | 4130 EAGLE COVE EAST DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-4682
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Country | US
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Telephone | 317-525-8388
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Fax | 317-377-4706
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT20902272
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License Number State | IN
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