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General NPI Number Information
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NPI Number | 1104854280
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Entity Type | Individual
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Provider Name | CATHERINE M TUITE MD
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 333 COTTMAN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2434
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Country | US
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Telephone | 215-728-3883
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Fax | 215-728-1185
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Provider Business Mailing Address
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Address Line | 2450 W HUNTING PARK AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19129-1302
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Country | US
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Telephone | 215-728-3883
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Fax | 215-728-1185
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD065742L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD065742L
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License Number State | PA
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