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General NPI Number Information
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NPI Number | 1609138585
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Entity Type | Individual
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Provider Name | KARLIN HASKINS TALERICO CRNA, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/15/2012
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Last Update Date | 12/07/2024
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Provider Practice Location Address
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Address Line | 12335 WAKE UNION CHURCH RD STE 203
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City | WAKE FOREST
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State | NC
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Zip | 27587-4527
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Country | US
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Telephone | 919-720-0467
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Fax |
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Provider Business Mailing Address
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Address Line | 7420 RIDGE FALLS LN
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City | WAKE FOREST
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State | NC
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Zip | 27587-8015
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Country | US
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Telephone | 919-720-0467
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 224009
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 91106
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5019607
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License Number State | NC
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