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NPI Code Detail

MEDICARE: PAM RAWAT-KATOCH

MEDICARE: PAM RAWAT-KATOCH
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
1363LF0000XFamily Nurse PractitionerAPRN11027079FL

General Provider Information

NPI Number : 1649046624
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAM RAWAT-KATOCH
Provider Business Mailing Address
First Line : PO BOX 2012
Second Line :
City : LECANTO
State : FL
Zip : 34460-2012
Country : US
Telephone Number : 352-563-5070
Fax Number :
Provider Business Practice Location Address
First Line : 6038 W NORDLING LOOP
Second Line :
City : CRYSTAL RIVER
State : FL
Zip : 34429-8715
Country : US
Telephone Number : 352-563-5070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2023
Last Update Date : 11/30/2023

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Directions to “ PAM RAWAT-KATOCH ” Practice Location

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