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General NPI Number Information
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NPI Number | 1588868897
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Entity Type | Individual
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Provider Name | KAREN K TAN APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | NYUMC CARDIAC AND VASCULAR CENTER 530 FIRST AVENUE, HCC-13
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 212-263-3130
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Fax |
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Provider Business Mailing Address
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Address Line | 52 FRANCIS PL
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City | STATEN ISLAND
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State | NY
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Zip | 10304-1432
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 430294
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License Number State | NY
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