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General NPI Number Information
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NPI Number | 1629063375
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Entity Type | Individual
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Provider Name | KAREN L. NONHOF MD
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Gender | Female
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 712 SAINT JOHN ST
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City | GARDEN CITY
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State | KS
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Zip | 67846-5128
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Country | US
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Telephone | 620-275-1766
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Fax | 620-275-4729
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Provider Business Mailing Address
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Address Line | 7560 LINDSAY DR
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City | HOLCOMB
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State | KS
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Zip | 67851-9783
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Country | US
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Telephone | 620-277-2087
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Fax | 620-275-4729
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-18913
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License Number State | KS
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