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General NPI Number Information
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NPI Number | 1083007405
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Entity Type | Individual
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Provider Name | KATELYN ST. PIERRE ISAAC AG-ACNP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2015
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 35 MEDICAL CENTER PKWY
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City | AUGUSTA
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State | ME
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Zip | 04330-8160
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Country | US
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Telephone | 207-621-4116
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Fax | 207-621-4689
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Provider Business Mailing Address
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Address Line | PO BOX 911
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City | BRATTLEBORO
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State | VT
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Zip | 05302-0911
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Country | US
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Telephone | 207-303-3300
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Fax | 207-250-2140
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CNP151017
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License Number State | ME
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