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General NPI Number Information
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NPI Number | 1770112450
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Entity Type | Individual
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Provider Name | KATHERINE AU DO
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Gender | Female
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Dates
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Enumeration Date | 04/05/2020
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 8 MEDICAL PLAZA DR STE 180
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City | ROSEVILLE
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State | CA
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Zip | 95661-3107
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Country | US
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Telephone | 916-887-4660
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 255228
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City | SACRAMENTO
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State | CA
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Zip | 95865-5228
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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 | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number | 20A20115
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 20A20115
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License Number State | CA
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