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General NPI Number Information
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NPI Number | 1750939328
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Entity Type | Individual
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Provider Name | KATHERINE OPELA FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 1570 E TUCSON MARKETPLACE BLVD STE 140
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City | TUCSON
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State | AZ
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Zip | 85713-6570
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Country | US
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Telephone | 520-301-2300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30757
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City | TUCSON
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State | AZ
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Zip | 85751-0757
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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 | 231280
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License Number State | AZ
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