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General NPI Number Information
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NPI Number | 1942323811
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Entity Type | Individual
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Provider Name | KAREN L. ANDERSON PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4052 BALD CYPRESS WAY BIN A06
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City | TALLAHASSEE
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State | FL
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Zip | 32399-7017
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Country | US
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Telephone | 850-245-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 4736 TORY SOUND LN
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City | TALLAHASSEE
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State | FL
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Zip | 32309-2219
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Country | US
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Telephone | 850-321-3418
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY 1061
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License Number State | FL
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