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General NPI Number Information
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NPI Number | 1578750584
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Entity Type | Individual
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Provider Name | KAREN DIANE KAHAN NP
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Gender | Female
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 3235 ACADEMY AVE SUITE 305
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City | PORTSMOUTH
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State | VA
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Zip | 23703-3200
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Country | US
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Telephone | 757-686-9300
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Fax | 757-686-1514
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Provider Business Mailing Address
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Address Line | 2876 GUARDIAN LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7327
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Country | US
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Telephone | 757-463-5240
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Fax | 757-463-6572
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024167397
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License Number State | VA
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