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General NPI Number Information
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NPI Number | 1861449191
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Entity Type | Individual
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Provider Name | KAREN ANN O'CONNOR C.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 03/29/2010
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Provider Practice Location Address
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Address Line | 1300 PICCARD DR STE 202
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City | ROCKVILLE
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State | MD
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Zip | 20850-4697
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Country | US
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Telephone | 240-686-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 TOBACCO RD
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City | CHESAPEAKE BEACH
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State | MD
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Zip | 20732-3618
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Country | US
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Telephone | 410-414-3335
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R108183
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License Number State | MD
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