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General NPI Number Information
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NPI Number | 1326582875
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Entity Type | Individual
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Provider Name | KATIE HENKEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/16/2016
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 343 RIVER OAKS DR
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City | MILFORD
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State | MI
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Zip | 48381-1037
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Country | US
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Telephone | 248-717-1232
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Fax | 248-717-0150
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Provider Business Mailing Address
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Address Line | 343 RIVER OAKS DR
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City | MILFORD
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State | MI
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Zip | 48381-1037
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Country | US
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Telephone | 248-717-1232
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Fax | 248-717-0150
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA0493
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA1800
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5601013076
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License Number State | MI
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