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General NPI Number Information
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NPI Number | 1669001673
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Entity Type | Individual
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Provider Name | KAREN MARTIN LGSW, MSW
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Gender | Female
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 115 AIKENS CTR
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City | MARTINSBURG
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State | WV
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Zip | 25404-6210
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Country | US
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Telephone | 304-820-9365
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Fax |
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Provider Business Mailing Address
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Address Line | 88 ALDERSHOT DR
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City | MARTINSBURG
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State | WV
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Zip | 25405-5806
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Country | US
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Telephone | 304-886-1946
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | BP009444380
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | BP009444380
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License Number State | WV
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