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General NPI Number Information
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NPI Number | 1619188216
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Entity Type | Individual
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Provider Name | KATHERINE LYNNE METZGER DIETRICH D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 860 IWILEI RD
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City | HONOLULU
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State | HI
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Zip | 96817-5018
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Country | US
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Telephone | 808-383-3996
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Fax | 808-791-8049
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Provider Business Mailing Address
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Address Line | 1177 QUEEN ST APT 4603
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City | HONOLULU
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State | HI
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Zip | 96814-4152
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Country | US
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Telephone | 406-606-2168
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Fax | 84-330-2818
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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 | 005587
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 40873
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | DOS-2646
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License Number State | HI
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