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General NPI Number Information
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NPI Number | 1457328361
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Entity Type | Individual
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Provider Name | KATHARINE WOLCOTT MARKELL M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 3551 ROGER BROOKE DRIVE, BLDG 3600 BROOKE ARMY MEDICAL CENTER - DEPT OF SURGERY
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City | FT. SAM HOUSTON
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State | TX
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Zip | 78234
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Country | US
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Telephone | 210-916-1153
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Fax | 210-916-2202
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Provider Business Mailing Address
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Address Line | 3551 ROGER BROOKE DR BLDG 3600
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-4504
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Country | US
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Telephone | 210-916-3774
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Fax | 210-916-6658
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 22776
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 22776
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License Number State | NE
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