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General NPI Number Information
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NPI Number | 1588523054
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Entity Type | Individual
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Provider Name | KATHRYN SEGURA
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Gender | Female
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 729 SW FEDERAL HWY STE 104
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City | STUART
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State | FL
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Zip | 34994-2913
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Country | US
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Telephone | 561-257-3099
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Fax |
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Provider Business Mailing Address
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Address Line | 655 SW LITTLE TALBOT CT
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-2058
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Country | US
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Telephone | 404-769-4130
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11044924
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License Number State | FL
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