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General NPI Number Information
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NPI Number | 1003275843
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Entity Type | Individual
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Provider Name | CATHERINE CHIARADONNA NP
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Gender | Female
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 02/22/2016
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Provider Practice Location Address
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Address Line | 1867 WILLIAMS HWY STE 226
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City | GRANTS PASS
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State | OR
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Zip | 97527-5856
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Country | US
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Telephone | 877-672-8620
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Fax |
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Provider Business Mailing Address
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Address Line | 1867 WILLIAMS HIGHWAY, SUITE 226
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City | GRANTS PASS
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State | OR
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Zip | 97527
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Country | US
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Telephone | 877-672-8620
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 201405791
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9191709
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License Number State | FL
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