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General NPI Number Information
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NPI Number | 1225392186
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Entity Type | Individual
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Provider Name | KATHERINE RODBY MD
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Gender | Female
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Dates
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Enumeration Date | 06/26/2012
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 55 VILCOM CENTER DR STE 110
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City | CHAPEL HILL
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State | NC
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Zip | 27514-1690
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Country | US
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Telephone | 984-215-6350
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Fax |
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Provider Business Mailing Address
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Address Line | 7034 BURNETT-WOMACK BUILDING
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City | CHAPEL HILL
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State | NC
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Zip | 27599-0001
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Country | US
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Telephone | 919-966-4446
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 2021028031
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 125059670
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 72474
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 2024-02110
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License Number State | NC
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