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General NPI Number Information
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NPI Number | 1063242261
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Entity Type | Organization
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Legal Business Name | CAT & MOUSE ELECTROLYSIS
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Dates
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Enumeration Date | 08/03/2024
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 1 W CALIFORNIA BLVD STE 228
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City | PASADENA
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State | CA
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Zip | 91105-3033
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Country | US
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Telephone | 909-206-2443
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Fax |
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Provider Business Mailing Address
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Address Line | 159 N MARENGO AVE APT 102
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City | PASADENA
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State | CA
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Zip | 91101-4505
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Country | US
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Telephone | 909-206-2443
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DIANA NOEL
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Credential | ELECTROLOGIST
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Telephone | 909-243-1996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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