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General NPI Number Information
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NPI Number | 1063161628
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Entity Type | Individual
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Provider Name | KATHERINE E TEETER NP
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Gender | Female
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Dates
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Enumeration Date | 03/21/2022
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 105 NEWSOM ST STE 101
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City | DURHAM
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State | NC
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Zip | 27704-2197
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Country | US
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Telephone | 919-286-2872
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Fax | 919-433-0360
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Provider Business Mailing Address
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Address Line | 100 S BOYLAN AVE
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City | RALEIGH
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State | NC
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Zip | 27603-1802
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Country | US
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Telephone | 919-833-7526
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Fax | 919-390-1384
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 5021017
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License Number State | NC
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