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General NPI Number Information
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NPI Number | 1710296629
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Entity Type | Individual
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Provider Name | KATHERINE MAGOON MD
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Gender | Female
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Dates
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Enumeration Date | 09/27/2010
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 555 BROOME ST
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City | NEW YORK
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State | NY
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Zip | 10013-1510
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Country | US
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Telephone | 212-453-0222
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Fax | 212-941-9614
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Provider Business Mailing Address
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Address Line | 555 BROOME ST
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City | NEW YORK
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State | NY
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Zip | 10013-1510
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Country | US
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Telephone | 212-453-0222
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Fax | 212-941-9614
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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 | F382163-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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