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General NPI Number Information
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NPI Number | 1922600113
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Entity Type | Individual
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Provider Name | KATHERINE ELIZABETH STAHL DNP, AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 2417 ATRIUM DR STE 150
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City | RALEIGH
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State | NC
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Zip | 27607-6673
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Country | US
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Telephone | 919-791-2040
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Fax | 919-791-2041
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Provider Business Mailing Address
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Address Line | 2417 ATRIUM DR STE 150
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City | RALEIGH
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State | NC
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Zip | 27607-6673
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Country | US
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Telephone | 919-791-2040
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Fax | 919-791-2041
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5017730
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License Number State | NC
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