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General NPI Number Information
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NPI Number | 1194976381
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Entity Type | Individual
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Provider Name | KATHERINE M CARD PA
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Gender | Female
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 5641 POPLAR TENT RD SUITE 101
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City | CONCORD
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State | NC
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Zip | 28027-7533
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Country | US
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Telephone | 704-782-1955
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Fax | 704-782-3903
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Provider Business Mailing Address
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Address Line | 1601 BRENNER AVE
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City | SALISBURY
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State | NC
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Zip | 28144-2515
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Country | US
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Telephone | 704-796-2164
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 012819
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-02010
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License Number State | NC
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