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General NPI Number Information
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NPI Number | 1679207120
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Entity Type | Individual
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Provider Name | KATHERINE DUCOTEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 967 N BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-1301
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Country | US
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Telephone | 914-964-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 35 S WASHINGTON AVE
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City | DOBBS FERRY
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State | NY
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Zip | 10522-1806
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Country | US
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Telephone |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 029111
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License Number State | NY
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