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General NPI Number Information
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NPI Number | 1376402404
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Entity Type | Individual
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Provider Name | KATHERINE ANNE UTTAL MGCS, CGC
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Gender | Female
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 805 JOHN ST
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City | KALAMAZOO
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State | MI
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Zip | 49001-2854
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Country | US
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Telephone | 269-286-7195
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S ROSE ST APT 318
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City | KALAMAZOO
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State | MI
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Zip | 49007-5231
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Country | US
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Telephone | 847-708-2750
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 7201000603
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License Number State | MI
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