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General NPI Number Information
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NPI Number | 1194483255
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Entity Type | Individual
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Provider Name | SHARON MARY KATNER RN
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Gender | Female
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | HIGHWAY 160 163 BUILDING
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City | KAYENTA
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State | AZ
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Zip | 86033
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Country | US
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Telephone | 928-697-4202
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 VISTA OESTE NW # 2
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-3693
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Country | US
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Telephone | 360-310-7550
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Fax | 928-697-4083
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | R40335
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License Number State | NM
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