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General NPI Number Information
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NPI Number | 1528465671
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Entity Type | Individual
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Provider Name | KATHARINE STOATE MS, CGC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 571 S FLOYD ST STE 100
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City | LOUISVILLE
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State | KY
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Zip | 40202-3827
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Country | US
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Telephone | 502-588-0919
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Fax | 502-588-9534
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Provider Business Mailing Address
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Address Line | 571 S FLOYD ST STE 100
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City | LOUISVILLE
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State | KY
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Zip | 40202-3827
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Country | US
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Telephone | 502-588-0919
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Fax | 502-588-9534
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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