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General NPI Number Information
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NPI Number | 1316699374
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Entity Type | Individual
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Provider Name | KATRINA MAIER
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Gender | Female
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 26809 TANIC DR STE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-4611
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Country | US
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Telephone | 813-435-5199
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Fax |
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Provider Business Mailing Address
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Address Line | 23641 SILVER DATE LOOP APT 201
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City | LAND O LAKES
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State | FL
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Zip | 34639-2864
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Country | US
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Telephone | 407-462-4280
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9118931
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License Number State | FL
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