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General NPI Number Information
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NPI Number | 1851732028
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Entity Type | Individual
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Provider Name | KAREN JEAN HAAG MA
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Gender | Female
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 02/23/2018
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Provider Practice Location Address
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Address Line | 230 SW 3RD ST STE 309
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City | CORVALLIS
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State | OR
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Zip | 97333-4652
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Country | US
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Telephone | 541-829-0592
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Fax | 503-549-0080
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Provider Business Mailing Address
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Address Line | 230 SW 3RD ST STE 309
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City | CORVALLIS
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State | OR
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Zip | 97333-4652
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Country | US
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Telephone | 541-829-0592
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Fax | 503-549-0080
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C4405
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License Number State | OR
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