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General NPI Number Information
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NPI Number | 1023581634
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Entity Type | Individual
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Provider Name | KATARINA ELAINE NORTON
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Gender | Female
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Dates
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Enumeration Date | 01/07/2019
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Last Update Date | 01/07/2019
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Provider Practice Location Address
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Address Line | 3495 HOFFMAN ST, PENNEY FARMS, FL 32079
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City | PENNEY FARMS
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State | FL
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Zip | 32079
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Country | US
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Telephone | 800-385-2527
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Fax |
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Provider Business Mailing Address
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Address Line | 3197 FOX SQUIRREL DR
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City | ORANGE PARK
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State | FL
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Zip | 32073-2246
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Country | US
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Telephone | 904-742-5841
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA26361
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License Number State | FL
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