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General NPI Number Information
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NPI Number | 1720967482
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Entity Type | Individual
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Provider Name | DR. KATHERINE CHARLENE MCNABB
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 11134 OBERUN RIVER CT
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-2915
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Country | US
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Telephone | 916-838-1134
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Fax |
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Provider Business Mailing Address
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Address Line | 6255 W SUNSET BLVD FL 21
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City | LOS ANGELES
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State | CA
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Zip | 90028-7422
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Country | US
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Telephone | 323-860-5200
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-NP330001
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95034325
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN330001
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License Number State | GA
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