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General NPI Number Information
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NPI Number | 1720048655
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Entity Type | Individual
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Provider Name | KAREN ELLEN SAHAKIAN-CORTINAS ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 4217 BAYMEADOWS RD
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City | JACKSONVILLE
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State | FL
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Zip | 32217
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Country | US
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Telephone | 904-332-7431
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Fax | 904-332-7408
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Provider Business Mailing Address
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Address Line | 193 CEDAR RIDGE CIRCLE
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City | ST.AUGUSTINE
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State | FL
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Zip | 32080-6529
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Country | US
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Telephone | 904-471-8908
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Fax | 904-471-8908
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2591252
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License Number State | FL
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