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General NPI Number Information
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NPI Number | 1871350348
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Entity Type | Individual
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Provider Name | KATELYN WILLIAMS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/01/2024
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 302 S JEFFERS ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-5349
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Country | US
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Telephone | 308-534-6687
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Fax |
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Provider Business Mailing Address
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Address Line | 36217 COUNTY ROAD 95
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City | CROOK
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State | CO
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Zip | 80726-9202
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Country | US
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Telephone | 970-630-8441
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F01241377
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License Number State | NE
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