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General NPI Number Information
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NPI Number | 1972491637
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Entity Type | Individual
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Provider Name | KATRINA ALVARADO RN
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 120 W ROSS BLVD
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City | DODGE CITY
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State | KS
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Zip | 67801-2131
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Country | US
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Telephone | 913-957-1247
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 426
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City | BUCKLIN
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State | KS
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Zip | 67834-0426
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Country | US
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Telephone | 913-957-1247
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 13-148369-12
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License Number State | KS
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