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General NPI Number Information
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NPI Number | 1093070963
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Entity Type | Individual
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Provider Name | CATHERINE C MARA MS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 11/12/2019
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Provider Practice Location Address
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Address Line | 7074 GROVE RD
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City | BROOKSVILLE
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State | FL
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Zip | 34609-8658
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Country | US
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Telephone | 352-540-9335
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Fax |
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Provider Business Mailing Address
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Address Line | 3832 BRAEMERE DR
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City | SPRING HILL
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State | FL
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Zip | 34609-0678
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Country | US
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Telephone | 352-442-1717
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Fax | 352-796-3990
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH11873
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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