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General NPI Number Information
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NPI Number | 1053895284
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Entity Type | Individual
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Provider Name | CATHERINE DANIELLE OLASO
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Gender | Female
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 09/24/2018
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Provider Practice Location Address
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Address Line | 68 S BALTIC PL
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City | MERIDIAN
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State | ID
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Zip | 83642-5935
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Country | US
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Telephone | 208-898-0988
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Fax |
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Provider Business Mailing Address
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Address Line | 9213 W LITTLEWOOD DR
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City | BOISE
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State | ID
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Zip | 83709-6572
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Country | US
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Telephone | 208-859-3757
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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