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General NPI Number Information
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NPI Number | 1104595123
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Entity Type | Organization
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Legal Business Name | KATHI LACOURT MD PLLC
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 6801 E GELDING DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-8525
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Country | US
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Telephone | 480-678-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 6501 E GREENWAY PKWY STE 103-648
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City | SCOTTSDALE
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State | AZ
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Zip | 85254
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Country | US
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Telephone | 602-675-8668
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CATHERINE LYNETTE LACOURT
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Credential | MD
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Telephone | 602-675-8668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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