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General NPI Number Information
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NPI Number | 1144566613
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Entity Type | Individual
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Provider Name | STEPHEN E KATHMAN PA
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Gender | Male
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Dates
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Enumeration Date | 01/02/2013
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 620 KLING DR
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City | DAYTON
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State | OH
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Zip | 45419-4201
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Country | US
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Telephone | 937-345-3483
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Fax | 877-865-9852
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Provider Business Mailing Address
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Address Line | 2920 ROANOKE AVE
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City | KETTERING
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State | OH
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Zip | 45419-1356
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Country | US
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Telephone | 513-313-7758
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Fax | 877-865-9852
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50003642RX
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License Number State | OH
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