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General NPI Number Information
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NPI Number | 1548753684
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Entity Type | Individual
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Provider Name | KATY MARIE ZOGG CNP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 1601 SIOUX VALLEY DR
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City | LUVERNE
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State | MN
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Zip | 56156-4500
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Country | US
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Telephone | 507-283-4476
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Fax |
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Provider Business Mailing Address
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Address Line | 805 N QUARTZ AVE
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City | BRANDON
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State | SD
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Zip | 57005-2702
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Country | US
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Telephone | 507-360-2929
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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 | 5885
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License Number State | MN
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