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General NPI Number Information
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NPI Number | 1952851784
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Entity Type | Individual
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Provider Name | KATELYN BERMAN NP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 926 MAIN ST
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City | NASHVILLE
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State | TN
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Zip | 37206-3614
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Country | US
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Telephone | 423-276-2342
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Fax |
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Provider Business Mailing Address
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Address Line | 141 OTARI DR
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City | KINGSPORT
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State | TN
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Zip | 37664-5200
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Country | US
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Telephone | 423-276-2342
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1-130379
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 0024175199
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 23079
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License Number State | TN
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