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General NPI Number Information
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NPI Number | 1639366487
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Entity Type | Individual
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Provider Name | KARLA ANN MCNISH MD
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Gender | Female
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 937 N SPRING GARDEN AVE
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City | DELAND
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State | FL
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Zip | 32720-2560
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Country | US
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Telephone | 386-736-1948
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Fax | 386-481-6226
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Provider Business Mailing Address
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Address Line | 937 N SPRING GARDEN AVE
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City | DELAND
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State | FL
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Zip | 32720-2560
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Country | US
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Telephone | 386-736-1948
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Fax | 386-481-6226
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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 | ME104198
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License Number State | FL
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