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NPI 1952844466

NPI 1952844466 : HEATHER KARPAN LVN : CARLSBAD, CA

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General NPI Number Information
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    NPI Number           |    1952844466
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER KARPAN LVN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/01/2016
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    Last Update Date     |    09/02/2022
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Provider Practice Location Address
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    Address Line         |    6185 PASEO DEL NORTE STE 150 
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    City                 |    CARLSBAD
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    State                |    CA
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    Zip                  |    92011-1155
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    Country              |    US
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    Telephone            |    855-259-2288
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6601 NE 78TH CT STE A3 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97218-2823
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    Country              |    US
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    Telephone            |    503-252-3949
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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        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    201393466LPN
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    164X00000X
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    Taxonomy Name        |    Licensed Vocational Nurse
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    License Number       |    723434
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    License Number State |    CA
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