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General NPI Number Information
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NPI Number | 1144971185
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Entity Type | Individual
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Provider Name | KATELYN SCHWARTZ
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Gender | Female
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 2884 WELLNESS AVE STE 100
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City | ORANGE CITY
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State | FL
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Zip | 32763-8427
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Country | US
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Telephone | 407-434-8171
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Fax |
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Provider Business Mailing Address
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Address Line | 3 VALENCIA CIR
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City | DEBARY
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State | FL
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Zip | 32713-3436
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Country | US
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Telephone |
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | PA9115443
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | PA9115443
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License Number State | FL
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