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General NPI Number Information
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NPI Number | 1689035032
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Entity Type | Individual
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Provider Name | KAREN E BRAZELL APRN
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Gender | Female
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 100 BRAMPTON AVE STE 2D
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City | STATESBORO
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State | GA
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Zip | 30458-0826
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Country | US
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Telephone | 912-250-6745
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Fax | 800-466-0194
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Provider Business Mailing Address
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Address Line | 100 BRAMPTON AVE STE 2D
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City | STATESBORO
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State | GA
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Zip | 30458-0826
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Country | US
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Telephone | 912-259-9559
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN216047
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN216047
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License Number State | GA
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