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General NPI Number Information
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NPI Number | 1336346261
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Entity Type | Individual
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Provider Name | KATHYRN ELISABETH KLAWITTER R.N.
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Gender | Female
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | INNERLOOP RD AND 4TH ST USA MEDDAC BLDG 166
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City | FORT IRWIN
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State | CA
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Zip | 92310
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Country | US
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Telephone | 760-386-3114
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Fax |
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Provider Business Mailing Address
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Address Line | 2444 MITCHELL AVE
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City | CLOVIS
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State | CA
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Zip | 93611
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Country | US
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Telephone | 559-392-1482
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 697401
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License Number State | CA
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