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General NPI Number Information
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NPI Number | 1275973851
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Entity Type | Individual
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Provider Name | KATHERINE AURELIA ANDERSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 06/27/2013
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Provider Practice Location Address
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Address Line | 2401 31ST STREET
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City | TEMPLE
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State | TX
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Zip | 76508
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Country | US
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Telephone | 254-724-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 755 LOOP RD
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City | KILLEEN
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State | TX
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Zip | 76542-5669
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Country | US
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Telephone | 254-702-9675
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | BP10047351
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License Number State | TX
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