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General NPI Number Information
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NPI Number | 1972697308
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Entity Type | Individual
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Provider Name | KARIN J PARDUE M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 8401 N CENTURY BLVD
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City | CENTURY
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State | FL
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Zip | 32535
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Country | US
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Telephone | 850-256-5314
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Fax | 850-256-4433
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Provider Business Mailing Address
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Address Line | PO BOX 399
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City | CENTURY
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State | FL
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Zip | 32535-0399
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Country | US
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Telephone | 850-256-5314
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Fax | 850-256-4433
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 24484
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME119749
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License Number State | FL
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