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General NPI Number Information
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NPI Number | 1821951815
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Entity Type | Individual
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Provider Name | KAREN GRIMES MCPHERSON FNP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 604 AMANDA ST
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City | MANTEO
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State | NC
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Zip | 27954-9039
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Country | US
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Telephone | 252-473-3478
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Fax |
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Provider Business Mailing Address
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Address Line | 5359 MASHOES RD
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City | MANNS HARBOR
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State | NC
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Zip | 27953-9524
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 304345
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License Number State | NC
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