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General NPI Number Information
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NPI Number | 1053771410
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Entity Type | Individual
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Provider Name | CATHERINE GRACE CONNELL FINZEL PT, DPT, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 02/28/2016
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 4555 S 7TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47802-4503
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Country | US
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Telephone | 812-242-2332
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Fax | 812-242-2772
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Provider Business Mailing Address
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Address Line | 4555 S 7TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47802-4503
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Country | US
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Telephone | 812-242-2332
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Fax | 812-242-2772
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 36002678A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05013501A
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License Number State | IN
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