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General NPI Number Information
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NPI Number | 1568824258
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Entity Type | Individual
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Provider Name | KATHERINE ROSE GAVINSKI
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Gender | Female
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 200 LOTHROP ST STE 9
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 205-692-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 308 S LANG AVE
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City | PITTSBURGH
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State | PA
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Zip | 15208-2750
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | S0885
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 73298-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD472800
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License Number State | PA
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