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General NPI Number Information
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NPI Number | 1336376789
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Entity Type | Individual
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Provider Name | KATHERN MARIE SORIANO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/12/2009
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Last Update Date | 06/12/2009
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Provider Practice Location Address
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Address Line | RR 2 BOX 54G
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City | BUCKEYE
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State | WV
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Zip | 24924-9641
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Country | US
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Telephone | 304-799-6695
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Fax | 304-799-6644
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Provider Business Mailing Address
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Address Line | RR 2 BOX 54H
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City | BUCKEYE
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State | WV
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Zip | 24924-9659
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Country | US
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Telephone | 304-799-6695
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Fax | 304-799-6644
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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 | 41655
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License Number State | WV
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