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General NPI Number Information
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NPI Number | 1578674800
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Entity Type | Individual
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Provider Name | KATHERINE MARIE NEIDERER DPM
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 10936 WESTWARD PL
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5787
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Country | US
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Telephone | 520-548-5573
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Fax | 520-629-4962
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Provider Business Mailing Address
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Address Line | 10936 WESTWARD PL
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5787
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Country | US
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Telephone | 520-548-5573
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Fax | 520-629-4962
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 606
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103301097
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License Number State | VA
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