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General NPI Number Information
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NPI Number | 1023201902
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Entity Type | Individual
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Provider Name | KATHERINE E FLANNERY REEVES ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 5870 HIATUS RD
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City | TAMARAC
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State | FL
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Zip | 33321-6424
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Country | US
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Telephone | 800-424-3672
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Fax | 954-377-3042
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Provider Business Mailing Address
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Address Line | 309 MANATEE LN
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-3662
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Country | US
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Telephone | 513-265-7833
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3005212
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 2007001906
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 11003295
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License Number State | FL
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