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General NPI Number Information
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NPI Number | 1851367197
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Entity Type | Individual
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Provider Name | KAREN SALVAGGIO NP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 629 NUCKOLLS RD
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City | BOLIVAR
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State | TN
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Zip | 38008-1599
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Country | US
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Telephone | 731-658-3388
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Fax | 731-658-4079
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Provider Business Mailing Address
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Address Line | PO BOX 720
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City | BOLIVAR
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State | TN
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Zip | 38008-0720
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Country | US
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Telephone | 731-659-3125
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Fax | 731-659-3131
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN81212
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN6367
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License Number State | TN
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