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General NPI Number Information
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NPI Number | 1124068952
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Entity Type | Individual
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Provider Name | KATRINA DRYER NP
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 14911 N 75TH DR
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City | PEORIA
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State | AZ
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Zip | 85381-4394
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Country | US
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Telephone | 601-940-2570
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Fax | 480-478-0633
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Provider Business Mailing Address
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Address Line | PO BOX 2049
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City | MCCOMB
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State | MS
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Zip | 39649-2049
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Country | US
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Telephone | 601-205-9994
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP2677
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 902459
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61446651
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP2677
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License Number State | AZ
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