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General NPI Number Information
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NPI Number | 1588532071
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Entity Type | Individual
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Provider Name | KATHERINE PATTERSON MALONEY PHD
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Gender | Female
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 920 PAVERSTONE DR STE B
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City | RALEIGH
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State | NC
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Zip | 27615-4723
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Country | US
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Telephone | 919-410-7625
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Fax | 800-506-0634
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Provider Business Mailing Address
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Address Line | 1910 CEDAR DAM LN
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City | WENDELL
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State | NC
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Zip | 27591-6886
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Country | US
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Telephone | 919-410-7625
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | NU000033
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License Number State | NC
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