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General NPI Number Information
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NPI Number | 1619359510
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Entity Type | Individual
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Provider Name | KATHERINE ALTA HAGMANN DPM
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Gender | Female
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Dates
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Enumeration Date | 06/26/2015
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 16427 N SCOTTSDALE RD STE 410
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-7102
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Country | US
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Telephone | 888-495-4489
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 S POWER RD STE 114, #690
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City | MESA
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State | AZ
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Zip | 85206
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Country | US
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Telephone | 951-977-3668
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 135.000879
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License Number State | IL
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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 | POD-001093
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1045
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License Number State | MN
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