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General NPI Number Information
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NPI Number | 1902468853
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Entity Type | Individual
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Provider Name | KATHERINE DUPLICHEN ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 07/01/2019
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Provider Practice Location Address
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Address Line | 14000 FIVAY RD
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City | HUDSON
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State | FL
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Zip | 34667-7103
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Country | US
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Telephone | 727-819-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 2638 FENCEPOST DR APT 101
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City | ODESSA
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State | FL
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Zip | 33556-4341
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Country | US
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Telephone | 337-658-1767
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11003019
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License Number State | FL
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