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General NPI Number Information
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NPI Number | 1083573422
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Entity Type | Individual
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Provider Name | KATIA MINAIR NP
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Gender | Female
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 17351 MELFORD BLVD
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City | BOWIE
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State | MD
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Zip | 20715-4457
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Country | US
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Telephone | 410-340-6203
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Fax |
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Provider Business Mailing Address
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Address Line | 1177 CEDAR AVE
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City | SHADY SIDE
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State | MD
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Zip | 20764-9514
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Country | US
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Telephone | 410-340-6203
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | XXXXX
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License Number State | MD
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