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General NPI Number Information
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NPI Number | 1407163652
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Entity Type | Individual
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Provider Name | CATHERINE RENESA PEARSON FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 1801 E STATE ROUTE K
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City | WEST PLAINS
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State | MO
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Zip | 65775-6616
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Country | US
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Telephone | 417-257-2454
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Fax | 573-325-4996
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Provider Business Mailing Address
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Address Line | 1801 E. ST RT K
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City | WEST PLAINS
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State | MO
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Zip | 65775
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Country | US
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Telephone | 417-257-2454
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Fax | 573-325-4996
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2010031270
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License Number State | MO
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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 | 2010031270
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License Number State | MO
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