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NPI 1669138061

NPI 1669138061 : KATE KING CPM, LM : BUDA, TX

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General NPI Number Information
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    NPI Number           |    1669138061
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    Entity Type          |    Individual 
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    Provider Name        |    KATE KING CPM, LM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/10/2021
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    Last Update Date     |    02/03/2026
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Provider Practice Location Address
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    Address Line         |    610 MAIN ST STE 2A 
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    City                 |    BUDA
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    State                |    TX
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    Zip                  |    78610-9414
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    Country              |    US
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    Telephone            |    510-485-1795
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    Fax                  |    510-768-8680
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Provider Business Mailing Address
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    Address Line         |    7000 CONVICT HILL RD APT 6204 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78749-1734
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    Country              |    US
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    Telephone            |    510-485-1795
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    Fax                  |    510-768-8680
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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        |    261QB0400X
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    Taxonomy Name        |    Birthing Clinic/Center
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    License Number       |    99462
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    License Number State |    TX
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