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General NPI Number Information
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NPI Number | 1912921305
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Entity Type | Individual
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Provider Name | KAREN S JENNINGS-CONKLIN MD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 60 BRYAN BLVD STE 200
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City | CORBIN
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State | KY
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Zip | 40701-2781
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Country | US
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Telephone | 606-523-3021
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Fax | 606-528-7169
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Provider Business Mailing Address
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Address Line | PO BOX 936
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City | LONDON
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State | KY
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Zip | 40743-0936
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Country | US
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Telephone | 859-263-4666
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Fax | 859-263-4666
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 34156
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License Number State | KY
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