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General NPI Number Information
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NPI Number | 1700855590
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Entity Type | Individual
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Provider Name | MS. NADINE KARASKEVICUS
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Gender | Female
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | USAMEDDAC WUERZBURG/ VILSECK SWS UNIT 28038
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City | APO
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State | AE
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Zip | 09112
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Country | US
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Telephone | 011499662832100
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 411 BOX 2532
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City | APO
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State | AE
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Zip | 09112
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Country | US
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Telephone | 011499662421824
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 066452
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License Number State | NY
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