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General NPI Number Information
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NPI Number | 1285751073
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Entity Type | Individual
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Provider Name | KATHERINE ANN LUDEMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 17928 TOLEDO BLADE BLVD
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-1021
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Country | US
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Telephone | 941-743-7337
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Fax |
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Provider Business Mailing Address
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Address Line | 18566 ARAPAHOE CIR
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-9514
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Country | US
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Telephone | 941-255-5871
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP3026402
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License Number State | FL
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