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General NPI Number Information
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NPI Number | 1922056290
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Entity Type | Individual
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Provider Name | KAREN L MCCLURE FNP
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 501 RISON ST SUITE 120
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City | DANVILLE
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State | VA
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Zip | 24541-2425
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Country | US
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Telephone | 434-792-3730
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Fax | 434-792-6048
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Provider Business Mailing Address
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Address Line | PO BOX 10399
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City | DANVILLE
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State | VA
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Zip | 24543-5007
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Country | US
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Telephone | 434-792-3730
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Fax | 434-792-6048
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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 | 0024158518
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License Number State | VA
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