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General NPI Number Information
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NPI Number | 1720072820
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Entity Type | Individual
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Provider Name | KAREN ELIZABETH HOLEN D.C
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Gender | Female
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 301 W MICHIGAN AVE
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City | CLINTON
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State | MI
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Zip | 49236-9502
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Country | US
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Telephone | 517-456-7411
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 616
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City | CLINTON
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State | MI
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Zip | 49236-0616
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Country | US
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Telephone | 517-456-7411
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 8654DC
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 4285
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH-60806257
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License Number State | WA
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