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General NPI Number Information
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NPI Number | 1124305933
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Entity Type | Individual
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Provider Name | ROBERT MICHAEL CATLOW-PRICE LMT
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Gender | Male
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Dates
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Enumeration Date | 11/08/2011
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 131 CARMICHAEL ROAD SUITE #202
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City | HUDSON
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State | WI
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Zip | 54016
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Country | US
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Telephone | 715-977-2373
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 107TH STREET
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City | NEW RICHMOND
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State | WI
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Zip | 54017
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Country | US
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Telephone | 651-238-5220
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Fax |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 4201-046
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License Number State | WI
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