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General NPI Number Information
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NPI Number | 1467307157
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Entity Type | Individual
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Provider Name | KATRINA MAE LONGEST
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Gender | Female
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 2205 W 5TH ST HEALTH SCIENCES BUILDING
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City | GREENVILLE
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State | NC
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Zip | 27834
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Country | US
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Telephone | 252-744-6433
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Fax |
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Provider Business Mailing Address
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Address Line | 1088 SUGAR CREEK RD
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City | CRANDALL
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State | GA
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Zip | 30711-5100
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Country | US
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Telephone | 240-723-6708
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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 | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 352603
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License Number State | NC
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