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General NPI Number Information
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NPI Number | 1093791550
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Entity Type | Individual
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Provider Name | KATHERINE K STANLEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 6510 CAROLINE ST
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City | MILTON
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State | FL
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Zip | 32570-4778
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Country | US
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Telephone | 850-983-8500
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Fax | 850-983-0010
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Provider Business Mailing Address
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Address Line | PO BOX 10209
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City | PENSACOLA
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State | FL
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Zip | 32524-0209
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Country | US
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Telephone | 850-476-4200
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Fax | 866-684-0566
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP1269722
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License Number State | FL
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