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General NPI Number Information
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NPI Number | 1811929748
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Entity Type | Individual
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Provider Name | CAROLYN JEAN KAROLYI C-NP
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 10/19/2013
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Provider Practice Location Address
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Address Line | 324 WILMINGTON AVE
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City | DAYTON
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State | OH
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Zip | 45420-1890
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Country | US
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Telephone | 937-203-9228
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Fax |
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Provider Business Mailing Address
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Address Line | 2473 STATE ROUTE 725
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City | SPRING VALLEY
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State | OH
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Zip | 45370-8741
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Country | US
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Telephone | 937-475-3105
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN-142445
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License Number State | OH
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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 | NP04951
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License Number State | OH
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