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General NPI Number Information
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NPI Number | 1285951913
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Entity Type | Individual
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Provider Name | KATHLEEN G AUSTIN ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 04/20/2010
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Provider Practice Location Address
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Address Line | 4099 E 22ND ST STE 107
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City | TUCSON
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State | AZ
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Zip | 85711-5300
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Country | US
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Telephone | 520-323-4661
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Fax | 520-319-1699
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Provider Business Mailing Address
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Address Line | PO BOX CR
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City | BISBEE
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State | AZ
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Zip | 85603-0195
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Country | US
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Telephone | 520-234-7589
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Fax | 520-319-1699
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN054246
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License Number State | AZ
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