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General NPI Number Information
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NPI Number | 1588683288
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Entity Type | Individual
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Provider Name | KARYN ABRAHAMSON NP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 110 WASHINGTON ST
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City | MANISTEE
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State | MI
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Zip | 49660-1233
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Country | US
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Telephone | 231-723-9190
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Fax | 231-723-9191
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Provider Business Mailing Address
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Address Line | PO BOX 428
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City | CADILLAC
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State | MI
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Zip | 49601-0428
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Country | US
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Telephone | 231-775-6076
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Fax | 231-775-0027
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704163017
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License Number State | MI
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