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General NPI Number Information
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NPI Number | 1043460751
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Entity Type | Individual
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Provider Name | KATHERINE L ARENZ D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 2501 KENTUCKY AVE
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City | PADUCAH
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State | KY
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Zip | 42003-3813
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Country | US
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Telephone | 270-885-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 HIGHWAY 76
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City | CLARKSVILLE
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State | TN
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Zip | 37043-8405
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Country | US
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Telephone | 330-687-3998
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 03547
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2685
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2498
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License Number State | WV
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