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General NPI Number Information
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NPI Number | 1780097139
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Entity Type | Individual
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Provider Name | KATALIN VANEGAS APNP
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Gender | Female
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 1535 SAVANNAH RD
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City | LEWES
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State | DE
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Zip | 19958-1611
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Country | US
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Telephone | 302-645-3232
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Fax | 302-645-3833
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Provider Business Mailing Address
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Address Line | 122 E COLLEGE AVE
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City | APPLETON
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State | WI
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Zip | 54911-5741
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Country | US
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Telephone | 920-996-3264
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Fax | 920-830-5910
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LP-0010746
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | ARNP9276976
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License Number State | FL
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