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General NPI Number Information
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NPI Number | 1255302303
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Entity Type | Individual
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Provider Name | KATY L KAZEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 100 BREWSTER BLVD NAVAL HOSPITAL
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City | CAMP LEJEUNE
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State | NC
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Zip | 28547-2538
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Country | US
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Telephone | 910-450-4840
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Fax |
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Provider Business Mailing Address
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Address Line | 104 DUNLEITH PL
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City | JACKSONVILLE
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State | NC
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Zip | 28540-4540
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101058929
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License Number State | VA
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