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General NPI Number Information
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NPI Number | 1770696353
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Entity Type | Individual
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Provider Name | KATHY ANN HESSE ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE ATTN: CASE MANAGEMENT
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-585-6499
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Fax |
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Provider Business Mailing Address
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Address Line | 1085 98TH. ST. APT. 2
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City | BAY HARBOR ISLANDS
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State | FL
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Zip | 33154
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Country | US
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Telephone | 305-861-1749
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN1520772
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1520772
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License Number State | FL
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