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General NPI Number Information
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NPI Number | 1053749069
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Entity Type | Individual
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Provider Name | KATHERINE GANEM ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/30/2013
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 14221 SW 120TH ST STE 132
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City | MIAMI
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State | FL
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Zip | 33186-7463
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Country | US
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Telephone | 786-845-6463
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Fax | 786-723-6784
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Provider Business Mailing Address
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Address Line | 14221 SW 120TH ST STE 132
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City | MIAMI
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State | FL
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Zip | 33186-7463
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Country | US
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Telephone | 786-845-6463
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Fax | 786-723-6784
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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 | APRN9344697
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License Number State | FL
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