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General NPI Number Information
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NPI Number | 1750285797
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Entity Type | Individual
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Provider Name | KATHERINE POULSEN RN
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Gender | Female
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 41 HIGHLAND AVE
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City | WINCHESTER
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State | MA
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Zip | 01890-1496
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Country | US
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Telephone | 781-756-2240
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 CONCORD AVE
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City | BELMONT
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State | MA
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Zip | 02478-1017
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Country | US
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Telephone | 801-671-7130
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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 | 163WN0003X
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Taxonomy Name | Low-Risk Neonatal Registered Nurse
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License Number | RN255852
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License Number State | MA
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