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General NPI Number Information
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NPI Number | 1922388727
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Entity Type | Individual
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Provider Name | KIMBERLY CATLIN N.P.,
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Gender | Female
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Dates
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Enumeration Date | 08/24/2011
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1600 US HIGHWAY 79 S
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City | HENDERSON
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State | TX
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Zip | 75654-4508
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Country | US
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Telephone | 903-717-3260
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1022
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City | WAYNESBORO
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State | TN
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Zip | 38485-1022
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Country | US
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Telephone | 931-722-2369
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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 | NP-1103A
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP136629
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License Number State | TX
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