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General NPI Number Information
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NPI Number | 1104937226
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Entity Type | Organization
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Legal Business Name | CHARLES P CATRON PSC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 350 HOSPITAL WAY SUITE 200
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City | SOMERSET
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State | KY
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Zip | 42503-2872
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Country | US
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Telephone | 606-451-8340
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Fax | 606-676-0657
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Provider Business Mailing Address
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Address Line | 350 HOSPITAL WAY SUITE 200
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City | SOMERSET
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State | KY
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Zip | 42503-2872
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Country | US
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Telephone | 606-451-8340
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Fax | 606-676-0657
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. CHARLES P CATRON
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Credential | M.D.
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Telephone | 606-451-8340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA1014
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 33938
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License Number State | KY
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