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General NPI Number Information
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NPI Number | 1114601085
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Entity Type | Individual
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Provider Name | KATHRYN DEAN CPT
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Gender | Female
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 302 OATLEY CT APT 9203
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City | ODENTON
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State | MD
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Zip | 21113-3040
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Country | US
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Telephone | 443-254-1061
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Fax |
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Provider Business Mailing Address
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Address Line | 302 OATLEY CT APT 9203
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City | ODENTON
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State | MD
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Zip | 21113-3040
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Country | US
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Telephone | 443-254-1061
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 2743227
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 2743226
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License Number State |
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