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General NPI Number Information
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NPI Number | 1679699136
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Entity Type | Individual
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Provider Name | KAREN JANE DAHLGARD MSN, C.S., AP.R.N
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 05/08/2009
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Provider Practice Location Address
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Address Line | 832 TALL TIMBER RD
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City | ORANGE
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State | CT
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Zip | 06477
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Country | US
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Telephone | 203-387-8425
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Fax | 203-392-3564
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Provider Business Mailing Address
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Address Line | 832 TALL TIMBER RD
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City | ORANGE
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State | CT
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Zip | 06477
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Country | US
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Telephone | 203-387-8425
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Fax | 203-392-3564
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 000918
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | E33853
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License Number State | CT
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