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General NPI Number Information
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NPI Number | 1851584791
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Entity Type | Individual
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Provider Name | KAREN BUCKALEW ARNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 7472 DOCS GROVE CIR
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City | ORLANDO
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State | FL
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Zip | 32819-8010
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Country | US
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Telephone | 407-381-7366
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Fax | 407-351-6872
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Provider Business Mailing Address
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Address Line | 235 N WESTMONTE DR
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3345
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Country | US
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Telephone | 407-262-5710
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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 | 2614222
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License Number State | FL
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