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General NPI Number Information
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NPI Number | 1578429825
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Entity Type | Individual
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Provider Name | KARA DAWN WHITEDOVE
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Gender | Female
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 16218 JACKSON CREEK PKWY
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City | MONUMENT
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State | CO
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Zip | 80132-7181
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Country | US
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Telephone | 719-484-0930
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Fax | 719-484-0932
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Provider Business Mailing Address
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Address Line | 8370 W US HIGHWAY 24 APT 9
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City | CASCADE
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State | CO
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Zip | 80809-1223
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Country | US
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Telephone | 719-452-0179
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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