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General NPI Number Information
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NPI Number | 1962028209
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Entity Type | Individual
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Provider Name | KATHERINE ANNE EICHIN MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 145 S GRAY ST STE 201
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City | ORCUTT
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State | CA
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Zip | 93455-4787
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Country | US
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Telephone | 805-934-5140
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Fax |
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Provider Business Mailing Address
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Address Line | 915 E STOWELL RD STE C
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City | SANTA MARIA
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State | CA
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Zip | 93454-7010
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Country | US
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Telephone | 805-934-5140
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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 | 0024179539
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License Number State | VA
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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 | 95028642
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License Number State | CA
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