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Individual
KARA LEE MAUCIERI
Active
Individual
KARA LEE MAUCIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38856
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116180
MEDICA
—
01
—
080006801
MEDICARE
—
01
—
080122966
RR MEDICARE
—
01
—
112865C750
UCARE
—
05
—
246823900
—
MN
01
—
50Q23MA
BCBS
—
01
—
779799
AMERICAS PPO
—
01
—
7884035
AETNA
—
01
—
E007
TRICARE
—
01
—
HP26005
HEALTHPARTNERS
—
01
—
NS1141016489
PREFERRED ONE
—
Enumeration date
12/05/2005
Last updated
11/19/2020
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