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General NPI Number Information
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NPI Number | 1275855546
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Entity Type | Individual
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Provider Name | KATHRYN ELIZABETH KAPUSTINSKI RPA-C
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Gender | Female
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Dates
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Enumeration Date | 02/26/2010
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | THRIVING SPRINGS WELLNESS 400 WEST HIGHWAY US 290, B104
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620
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Country | US
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Telephone | 860-420-9985
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 33173
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City | SAN ANTONIO
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State | TX
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Zip | 78265-3173
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Country | US
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Telephone | 210-890-8840
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Fax | 210-783-9089
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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 | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number | PA13606
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA13606
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License Number State | TX
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