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General NPI Number Information
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NPI Number | 1821941857
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Entity Type | Individual
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Provider Name | KATHERINE DONOVAN GODFREY RN
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 113 BILLETTS BRIDGE RD
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City | CAMDEN
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State | NC
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Zip | 27921-7566
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Country | US
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Telephone | 401-787-2513
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Fax |
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Provider Business Mailing Address
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Address Line | 113 BILLETTS BRIDGE RD
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City | CAMDEN
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State | NC
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Zip | 27921-7566
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Country | US
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Telephone | 401-787-2513
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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 | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 346010
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License Number State | NC
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