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General NPI Number Information
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NPI Number | 1346224094
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Entity Type | Individual
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Provider Name | KATHARINA HATHAWAY MD
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Gender | Female
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 3112 WINDSOR RD SUITE A239
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City | AUSTIN
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State | TX
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Zip | 78703-2350
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Country | US
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Telephone | 512-680-9880
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Fax | 512-478-7608
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Provider Business Mailing Address
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Address Line | 3112 WINDSOR RD SUITE A239
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City | AUSTIN
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State | TX
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Zip | 78703-2350
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | L7412
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L7412
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License Number State | TX
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