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General NPI Number Information
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NPI Number | 1275011074
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Entity Type | Individual
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Provider Name | KATHLEEN THERESA GATHINGS RRT, RPFT, CCT
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Gender | Female
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 9961 SIERRA AVE
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City | FONTANA
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State | CA
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Zip | 92335
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Country | US
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Telephone | 909-427-5270
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Fax | 909-427-4434
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Provider Business Mailing Address
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Address Line | 9961 SIERRA AVE
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City | FONTANA
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State | CA
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Zip | 92335-6720
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Country | US
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Telephone | 909-427-5270
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Fax | 909-427-4434
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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 | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number | 00024861
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225B00000X
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Taxonomy Name | Pulmonary Function Technologist
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License Number | 15677
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License Number State | CA
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