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General NPI Number Information
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NPI Number | 1962720342
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Entity Type | Individual
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Provider Name | KAREN E PRESTON CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1040 EDGEWATER CORP PKWY SUITE 106
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City | INDIAN LAND
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State | SC
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Zip | 29707-4514
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Country | US
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Telephone | 704-541-9117
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Fax | 704-541-9137
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Provider Business Mailing Address
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Address Line | 332 CATALINA DR
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City | MOORESVILLE
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State | NC
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Zip | 28117-8566
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Country | US
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Telephone | 704-696-8220
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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 | 5006697
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19393
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License Number State | SC
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