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General NPI Number Information
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NPI Number | 1144487802
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Entity Type | Individual
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Provider Name | KATHERINE LOUISE WHITAKER-LEWIS RPA-C, LCCE, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 16 STEBBINS AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-1638
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Country | US
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Telephone | 718-448-0819
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Fax |
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Provider Business Mailing Address
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Address Line | 16 STEBBINS AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-1638
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Country | US
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Telephone | 718-448-0819
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | 10726339
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 04836-1
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License Number State | NY
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