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General NPI Number Information
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NPI Number | 1265846380
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Entity Type | Individual
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Provider Name | KATHERINE A NELSON MD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 601 ELMWOOD AVE
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City | ROCHESTER
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State | NY
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Zip | 14642-1905
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Country | US
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Telephone | 585-756-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 GASTON AVE STE 550
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City | DALLAS
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State | TX
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Zip | 75246-1905
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Country | US
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Telephone | 214-821-1177
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R4241
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License Number State | TX
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