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General NPI Number Information
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NPI Number | 1205651296
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Entity Type | Individual
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Provider Name | KATHERINE AUSTIN BS
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Gender | Female
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 10052 COORS BLVD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-4020
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Country | US
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Telephone | 505-459-0025
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Fax | 505-899-8372
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Provider Business Mailing Address
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Address Line | PO BOX 66255
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City | ALBUQUERQUE
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State | NM
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Zip | 87193-6255
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Country | US
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Telephone | 505-459-0025
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Fax | 505-899-8372
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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