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General NPI Number Information
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NPI Number | 1932108644
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Entity Type | Individual
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Provider Name | KAREN S TRAVER RD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | LANSTUHL REGIONAL MEDICAL CENTER UNIT 21414, BOX 218
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City | APO
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State | AE
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Zip | 09705
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Country | BE
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Telephone | 0113265445948
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Fax | 0113265445953
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Provider Business Mailing Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER ATTN: MCEUL-DCCS (CREDENTIALS) CMR 402
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City | APO
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State | AE
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Zip | 09180
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Country | DE
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Telephone | 011496371868839
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Fax | 011496371866133
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | L001331
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License Number State | NC
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