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General NPI Number Information
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NPI Number | 1295142016
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Entity Type | Individual
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Provider Name | CATHERINE R PAPATHEODOROU APRN
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Gender | Female
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 311 NOLAND DR
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City | BRANDON
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State | FL
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Zip | 33511-5719
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Country | US
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Telephone | 813-654-8100
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Fax | 813-874-0099
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Provider Business Mailing Address
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Address Line | 4308 N HABANA AVE
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City | TAMPA
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State | FL
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Zip | 33607-6316
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Country | US
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Telephone | 813-490-9495
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Fax | 813-874-0099
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ARNP9476459
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00510200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9476459
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License Number State | FL
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