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General NPI Number Information
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NPI Number | 1518510965
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Entity Type | Individual
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Provider Name | KATRINA REID APRN
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Gender | Female
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 19735 US HIGHWAY 441 FL 1
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City | MOUNT DORA
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State | FL
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Zip | 32757
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Country | US
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Telephone | 352-735-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 19735 US HIGHWAY 441 FL 1
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City | MOUNT DORA
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State | FL
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Zip | 32757-2204
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Country | US
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Telephone | 352-735-5700
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3013550
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License Number State | KY
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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 | APRN11003375
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License Number State | FL
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