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General NPI Number Information
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NPI Number | 1861130874
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Entity Type | Individual
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Provider Name | KATRINA LOUISE PEARSEY
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Gender | Female
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 1838 REDMOND RD SUITE B &C
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City | ROME
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State | GA
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Zip | 30165
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Country | US
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Telephone | 334-685-1496
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14
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City | GAYLESVILLE
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State | AL
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Zip | 35973-0014
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Country | US
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Telephone | 256-706-0296
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-151126
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License Number State | AL
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