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General NPI Number Information
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NPI Number | 1043429574
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Entity Type | Individual
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Provider Name | NITA CATT O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1459 N DYSART RD INSIDE SAMS CLUB
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City | AVONDALE
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State | AZ
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Zip | 85323-1515
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Country | US
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Telephone | 623-882-3877
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Fax | 623-882-3879
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Provider Business Mailing Address
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Address Line | 11875 W MCDOWELL RD #2161
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City | AVONDALE
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State | AZ
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Zip | 85323-3100
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Country | US
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Telephone | 623-581-7303
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1397
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License Number State | AZ
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