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General NPI Number Information
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NPI Number | 1851398796
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Entity Type | Individual
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Provider Name | KATHRYN L PAINTER MD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 3911 AVENUE B STE 3100
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City | SCOTTSBLUFF
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State | NE
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Zip | 69361-4617
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Country | US
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Telephone | 308-635-3033
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Fax | 308-635-3010
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Provider Business Mailing Address
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Address Line | 3911 AVENUE B STE 3100
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City | SCOTTSBLUFF
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State | NE
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Zip | 69361-4617
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Country | US
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Telephone | 308-635-3033
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Fax | 308-635-3010
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 21530
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 21530
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License Number State | NE
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