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General NPI Number Information
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NPI Number | 1861355166
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Entity Type | Individual
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Provider Name | MRS. KATHERINE DEY FEICKERT
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Gender | Female
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 151 BROOK KNOLL DR
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City | SANTA CRUZ
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State | CA
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Zip | 95060-1342
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Country | US
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Telephone | 381-334-3619
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Fax |
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Provider Business Mailing Address
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Address Line | 3823 BROMMER ST
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City | SANTA CRUZ
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State | CA
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Zip | 95062-3277
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Country | US
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Telephone | 562-552-5987
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 250288259
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License Number State | CA
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