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General NPI Number Information
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NPI Number | 1639392723
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Entity Type | Individual
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Provider Name | KARIN E PAPE
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | COMPANY CARE SUITE 3600 BLAKE MEDICAL CENTER 2010 59TH STREET
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City | BRADENTON
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State | FL
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Zip | 34209
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Country | US
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Telephone | 941-798-6477
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Fax |
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Provider Business Mailing Address
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Address Line | 14407 SUNDIAL PL
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5896
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Country | US
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Telephone | 941-751-2475
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F300595
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License Number State | NY
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