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General NPI Number Information
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NPI Number | 1538660527
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Entity Type | Individual
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Provider Name | KATHERINE ELIZABETH MACDONALD FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/24/2018
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Last Update Date | 06/04/2019
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Provider Practice Location Address
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Address Line | 555 CYNWOOD DR
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City | EASTON
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State | MD
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Zip | 21601-4092
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Country | US
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Telephone | 410-820-7270
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Fax | 410-820-4589
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Provider Business Mailing Address
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Address Line | PO BOX 12622
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City | BELFAST
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State | ME
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Zip | 04915-4017
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R208016
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License Number State | MD
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