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General NPI Number Information
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NPI Number | 1982890273
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Entity Type | Individual
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Provider Name | KAREN S SUMMERS CNP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 6674 WINCHESTER BLVD
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-2048
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Country | US
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Telephone | 614-834-8000
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Fax | 614-834-8917
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Provider Business Mailing Address
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Address Line | 7767 W IRLO BRONSON HWY
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City | KISSIMMEE
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State | FL
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Zip | 34747-1727
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Country | US
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Telephone | 321-677-3165
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-254750
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License Number State | OH
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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 | NP-09613
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License Number State | OH
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