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General NPI Number Information
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NPI Number | 1992836076
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Entity Type | Individual
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Provider Name | KARN J JOHANSEN PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 7101 YORK AVE S STE 130
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City | EDINA
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State | MN
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Zip | 55435-4510
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Country | US
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Telephone | 612-730-2237
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Fax | 888-809-6033
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Provider Business Mailing Address
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Address Line | 7101 YORK AVE S STE 130
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City | EDINA
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State | MN
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Zip | 55435-4510
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Country | US
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Telephone | 612-730-2237
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Fax | 888-809-6033
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001286
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 12967
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License Number State | MN
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