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General NPI Number Information
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NPI Number | 1922654987
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Entity Type | Individual
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Provider Name | KAREN C TABEL NP
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Gender | Female
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 135 N MAIN ST
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City | CORTLAND
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State | NY
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Zip | 13045-1226
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Country | US
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Telephone | 607-753-1340
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GUTHRIE SQ
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City | SAYRE
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State | PA
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Zip | 18840-1625
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Country | US
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Telephone | 570-888-5858
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F344650-01
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License Number State | NY
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