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General NPI Number Information
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NPI Number | 1598058901
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Entity Type | Organization
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Legal Business Name | KAREN FOR YOU HEALTH SERVICES
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Dates
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Enumeration Date | 05/18/2011
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Last Update Date | 05/18/2011
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Provider Practice Location Address
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Address Line | 67245 MEDANO RD
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-3440
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Country | US
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Telephone | 760-898-9804
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Fax |
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Provider Business Mailing Address
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Address Line | 67245 MEDANO RD
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-3440
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Country | US
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Telephone | 760-898-9804
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Fax |
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Authorized Official
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Title or Position | LVN
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Name | MRS. MARIA KATHRENA KALAW WEEDON
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Credential |
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Telephone | 760-898-9804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | VN211492
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License Number State | CA
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