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General NPI Number Information
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NPI Number | 1699277525
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Entity Type | Individual
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Provider Name | KATHERINE SAREK AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 221 W COLORADO BLVD STE 525
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City | DALLAS
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State | TX
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Zip | 75208-2312
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Country | US
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Telephone | 214-960-5681
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Fax | 214-960-5681
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Provider Business Mailing Address
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Address Line | 5605 N MACARTHUR BLVD STE 740
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City | IRVING
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State | TX
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Zip | 75038-2626
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Country | US
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Telephone | 214-960-5681
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Fax | 214-960-5681
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP136902
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP136902
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP136902
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License Number State | TX
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