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General NPI Number Information
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NPI Number | 1841428893
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Entity Type | Individual
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Provider Name | KATHERINE MARIE RASPOVIC DPM
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Gender | Female
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 06/29/2009
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Provider Practice Location Address
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Address Line | 1400 LOCUST ST
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City | PITTSBURGH
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State | PA
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Zip | 15219-5114
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Country | US
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Telephone | 512-432-5515
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Fax |
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Provider Business Mailing Address
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Address Line | 2226 BEAR RUN DR
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City | PITTSBURGH
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State | PA
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Zip | 15237-1484
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Country | US
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Telephone | 440-488-2716
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC006133
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License Number State | PA
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