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General NPI Number Information
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NPI Number | 1023015062
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Entity Type | Individual
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Provider Name | KATHERINE ANN LEMASTER LCSW, RN
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Gender | Female
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Dates
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Enumeration Date | 07/06/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4500 SAN PABLO RD S
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City | JACKSONVILLE
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State | FL
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Zip | 32224-1865
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Country | US
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Telephone | 904-296-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 100 ALSACE CT
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City | PONTE VEDRA BEACH
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State | FL
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Zip | 32082-2950
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Country | US
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Telephone | 904-285-4607
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW00001733
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License Number State | FL
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