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General NPI Number Information
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NPI Number | 1750849634
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Entity Type | Individual
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Provider Name | KATEY LYNN PERRY FNP
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Gender | Female
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Dates
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Enumeration Date | 03/09/2019
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Last Update Date | 03/09/2019
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Provider Practice Location Address
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Address Line | 1 SAINT DUNSTANS RD
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City | ASHEVILLE
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State | NC
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Zip | 28803-2790
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Country | US
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Telephone | 828-252-4020
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Fax |
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Provider Business Mailing Address
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Address Line | 15 FOREST RUN DR
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City | ASHEVILLE
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State | NC
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Zip | 28803-8564
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5011550
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License Number State | NC
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