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General NPI Number Information
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NPI Number | 1104684885
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Entity Type | Individual
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Provider Name | KATIE HINDAHL NBCHWC
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Gender | Female
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Dates
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Enumeration Date | 03/07/2024
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 455 ALT 19 S APT 153
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City | PALM HARBOR
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State | FL
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Zip | 34683-5930
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Country | US
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Telephone | 727-265-1246
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 524
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City | OZONA
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State | FL
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Zip | 34660-0524
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Country | US
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Telephone | 727-265-1246
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | A-3401830
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License Number State | MN
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