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General NPI Number Information
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NPI Number | 1679015259
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Entity Type | Individual
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Provider Name | KATHERINE MORFORD CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2016
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Last Update Date | 07/31/2020
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Provider Practice Location Address
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Address Line | 10743 NARCOOSSEE RD
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City | ORLANDO
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State | FL
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Zip | 32832-6944
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Country | US
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Telephone | 407-375-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 MIZELL AVE
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City | WINTER PARK
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State | FL
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Zip | 32789-5131
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Country | US
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Telephone | 407-375-4673
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 019576
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 9447521
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 371708
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License Number State | OH
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