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General NPI Number Information
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NPI Number | 1700076775
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Entity Type | Individual
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Provider Name | KATHERINE MURRAY WHNP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 52 CHRISTIAN RIDGE RD
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City | ELLSWORTH
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State | ME
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Zip | 04605-3210
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Country | US
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Telephone | 207-667-5304
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Fax | 207-667-6117
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Provider Business Mailing Address
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Address Line | 52 CHRISTIAN RIDGE RD
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City | ELLSWORTH
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State | ME
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Zip | 04605-3210
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Country | US
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Telephone | 207-667-5304
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Fax | 207-667-6117
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 026795
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License Number State | ME
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