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General NPI Number Information
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NPI Number | 1891816328
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Entity Type | Individual
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Provider Name | KARYN MITCHELL N.D., PH.D, LMT
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 603 GENEVA RD
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City | SAINT CHARLES
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State | IL
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Zip | 60174-4201
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Country | US
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Telephone | 815-732-7150
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Fax | 630-443-9930
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Provider Business Mailing Address
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Address Line | 104 N 4TH AVE
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City | SAINT CHARLES
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State | IL
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Zip | 60174-2018
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Country | US
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Telephone | 815-732-7150
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Fax | 630-443-9930
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | IL
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