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General NPI Number Information
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NPI Number | 1346969334
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Entity Type | Individual
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Provider Name | KATHERINE E PELOTTE APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 149 NORTH ST
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City | WATERVILLE
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State | ME
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Zip | 04901-4974
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Country | US
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Telephone | 207-872-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 199 CIANCHETTE ST
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City | PITTSFIELD
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State | ME
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Zip | 04967-4554
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Country | US
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Telephone | 207-858-2352
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | CNP221605
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 390200000X
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License Number State | ME
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