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General NPI Number Information
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NPI Number | 1205147550
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Entity Type | Individual
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Provider Name | KATRINA RENEE SLONE D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 226 MEDICAL PLAZA LN
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City | WHITESBURG
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State | KY
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Zip | 41858-7425
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Country | US
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Telephone | 606-633-4871
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 40
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City | WHITESBURG
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State | KY
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Zip | 41858-0040
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Country | US
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Telephone | 606-633-4823
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 5101018894
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | TP023
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 03754
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License Number State | KY
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