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General NPI Number Information
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NPI Number | 1932133881
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Entity Type | Individual
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Provider Name | KARLA KAY TELFER GENTRY NP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | MADISON CO. HEALTH DEPT 206 E 9TH ST COUNTY GOVERNMENT CENTER ANNEX
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City | ANDERSON
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State | IN
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Zip | 46016
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Country | US
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Telephone | 765-646-9206
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Fax | 765-646-9208
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Provider Business Mailing Address
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Address Line | 9218 W 280 N
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City | ANDERSON
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State | IN
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Zip | 46011-9151
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Country | US
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Telephone | 765-606-5983
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71000836A
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License Number State | IN
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