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General NPI Number Information
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NPI Number | 1104896273
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Entity Type | Individual
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Provider Name | CATHERINE M CRALL M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | WOMENS WELLNESS CENTER, PC 777 MAZZUCHELLI PLACE
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City | DUBUQUE
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State | IA
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Zip | 52001
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Country | US
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Telephone | 563-588-0011
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Fax | 563-588-0595
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Provider Business Mailing Address
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Address Line | WOMENS WELLNESS CENTER, PC PO BOX 2400
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City | WATERLOO
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State | IA
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Zip | 50704-2400
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Country | US
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Telephone | 319-233-3044
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Fax | 319-233-0722
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 24927
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License Number State | IA
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