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NPI Code Detail

MEDICARE: KATHERINE MCDUFFEE

MEDICARE: KATHERINE MCDUFFEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1255044079
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MCDUFFEE
Provider Business Mailing Address
First Line : 1391 FOXLAND BLVD APT U104
Second Line :
City : GALLATIN
State : TN
Zip : 37066-3563
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 IMPERIAL BLVD
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-3400
Country : US
Telephone Number : 615-560-6622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2022
Last Update Date : 12/27/2022

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Directions to “ KATHERINE MCDUFFEE ” Practice Location

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