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General NPI Number Information
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NPI Number | 1023393410
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Entity Type | Organization
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Legal Business Name | CATHY SHOWFETY INC.
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 408 1/2 STATE ST
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City | GREENSBORO
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State | NC
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Zip | 27405-5657
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Country | US
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Telephone | 336-324-3739
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Fax | 336-632-3503
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Provider Business Mailing Address
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Address Line | 1903 DICKENS DR
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City | GREENSBORO
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State | NC
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Zip | 27410-2217
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Country | US
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Telephone | 336-324-3739
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Fax | 336-632-3503
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Authorized Official
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Title or Position | PSYCHOLOGIST/MENTAL HEALTH
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Name | MRS. CATHY P SHOWFETY
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Credential | APRN,MSN,CSN
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Telephone | 336-324-3739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 68904
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License Number State | NC
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