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General NPI Number Information
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NPI Number | 1144415639
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Entity Type | Individual
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Provider Name | KATIE MARIE ELIZABETH NEMITZ RN
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Gender | Female
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Dates
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Enumeration Date | 09/08/2007
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 1130 E BUTLER DR APT D3
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City | PHOENIX
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State | AZ
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Zip | 85020-3760
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Country | US
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Telephone | 307-331-5096
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 E BUTLER DR APT D3
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City | PHOENIX
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State | AZ
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Zip | 85020-3760
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Country | US
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Telephone | 307-331-5096
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 273588
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 159226-030
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License Number State | WI
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