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General NPI Number Information
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NPI Number | 1720641954
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Entity Type | Organization
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Legal Business Name | KAREN CLUM APRN LLC
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Dates
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Enumeration Date | 04/14/2019
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 15 BISHOP DR STE 204
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City | WESTERVILLE
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State | OH
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Zip | 43081-2276
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Country | US
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Telephone | 614-392-5933
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Fax | 949-404-6647
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Provider Business Mailing Address
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Address Line | 15 BISHOP DR STE 204
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City | WESTERVILLE
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State | OH
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Zip | 43081-2276
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Country | US
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Telephone | 614-392-5933
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Fax | 614-474-1515
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Authorized Official
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Title or Position | OWNER
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Name | KAREN CLUM
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Credential | APRN
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Telephone | 614-392-5933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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