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General NPI Number Information
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NPI Number | 1154218386
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Entity Type | Individual
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Provider Name | KATHERINE BUTSON FNP-C
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Gender |
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 1816 BROADWAY ST STE 110
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City | PEARLAND
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State | TX
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Zip | 77581-5666
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Country | US
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Telephone | 682-367-5618
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Fax |
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Provider Business Mailing Address
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Address Line | 10107 ERIN GLEN WAY
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City | PEARLAND
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State | TX
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Zip | 77584-3149
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1191438
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License Number State | TX
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