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General NPI Number Information
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NPI Number | 1598160947
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Entity Type | Individual
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Provider Name | KATHERINE MARY POLIHROM
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Gender | Female
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Dates
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Enumeration Date | 10/28/2014
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 500 PARNASSUS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2203
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Country | US
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Telephone | 159-816-0947
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Fax | 415-476-9516
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Provider Business Mailing Address
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Address Line | 500 PARNASSUS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2203
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Country | US
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Telephone | 159-816-0947
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Fax | 415-476-9516
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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 | 5946
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN2294749
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | NA95002359
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License Number State | CA
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