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General NPI Number Information
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NPI Number | 1386500221
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Entity Type | Individual
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Provider Name | KATHERINE ATIENZA RN
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Gender | Female
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Dates
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Enumeration Date | 01/03/2026
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 1111 W LA PALMA AVE
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City | ANAHEIM
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State | CA
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Zip | 92801-2804
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Country | US
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Telephone | 714-999-3938
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Fax |
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Provider Business Mailing Address
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Address Line | 6171 SAN RICARDO WAY
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City | BUENA PARK
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State | CA
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Zip | 90620-2843
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Country | US
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Telephone | 714-496-7120
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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 | 163WG0100X
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Taxonomy Name | Gastroenterology Registered Nurse
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License Number | 95267685
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License Number State | CA
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