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General NPI Number Information
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NPI Number | 1518198282
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Entity Type | Individual
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Provider Name | KATHERINE SURBER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 52 E 14TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-4140
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Country | US
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Telephone | 212-358-8206
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Fax | 212-358-7016
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Provider Business Mailing Address
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Address Line | 52 E 14TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-4140
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Country | US
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Telephone | 212-358-8206
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Fax | 212-358-7016
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 053125-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26022437A
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License Number State | IN
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