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General NPI Number Information
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NPI Number | 1821569328
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Entity Type | Individual
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Provider Name | KAREN HENRY CERT. HAIR LOSS SPT.
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Gender | Female
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Dates
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Enumeration Date | 12/09/2018
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Last Update Date | 12/09/2018
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Provider Practice Location Address
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Address Line | 13833 BROOKVILLE BLVD
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City | ROSEDALE
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State | NY
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Zip | 11422-1900
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Country | US
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Telephone | 718-481-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 14865 262ND PL
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City | ROSEDALE
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State | NY
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Zip | 11422-3039
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Country | US
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Telephone | 718-598-4075
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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