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General NPI Number Information
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NPI Number | 1619830601
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Entity Type | Individual
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Provider Name | KATE FOX VAN GROUW ND
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 74-830 HWY 111 STE 100
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City | INDIAN WELLS
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State | CA
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Zip | 92210
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Country | US
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Telephone | 760-568-2598
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Fax |
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Provider Business Mailing Address
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Address Line | 58363 BONANZA DR
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-6208
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Country | US
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Telephone | 760-568-2598
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND1598
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License Number State | CA
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