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General NPI Number Information
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NPI Number | 1003889767
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Entity Type | Individual
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Provider Name | CATHERINE CLINTON WILEY MD
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Gender | Female
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 282 WASHINGTON STREET
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City | HARTFORD
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State | CT
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Zip | 06106
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Country | US
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Telephone | 860-545-9300
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Fax | 860-545-9301
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Provider Business Mailing Address
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Address Line | 21 GRAND STREET
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City | HARTFORD
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State | CT
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Zip | 06106
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Country | US
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Telephone | 860-550-7500
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Fax | 860-550-7501
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 034904
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License Number State | CT
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