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General NPI Number Information
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NPI Number | 1700199478
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Entity Type | Individual
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Provider Name | KARA E STILES ANP
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Gender | Female
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 3617 S PACIFIC HWY
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City | MEDFORD
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State | OR
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Zip | 97501-8957
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Country | US
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Telephone | 541-535-6239
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Fax | 541-512-1029
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Provider Business Mailing Address
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Address Line | 5608 ZUNI RD SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-2926
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Country | US
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Telephone | 505-262-2481
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Fax | 505-265-7045
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-83725
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | CNP-02908
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License Number State | NM
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