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General NPI Number Information
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NPI Number | 1942286281
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Entity Type | Individual
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Provider Name | KAREN MARIE FARICY NP
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Gender | Female
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14640 PARDEE RD EARLY SOLUTIONS CLINIC
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City | TAYLOR
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State | MI
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Zip | 48180-4739
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Country | US
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Telephone | 810-744-1999
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Fax | 810-744-2915
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Provider Business Mailing Address
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Address Line | 36819 SUNNYDALE ST
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City | LIVONIA
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State | MI
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Zip | 48154-1726
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Country | US
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Telephone | 734-591-0790
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704072006
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License Number State | MI
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