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General NPI Number Information
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NPI Number | 1134694235
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Entity Type | Individual
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Provider Name | CATHELINE HOLLEY THOMAS LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 3201 BUDINGER AVE
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City | SAINT CLOUD
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State | FL
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Zip | 34769-7203
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Country | US
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Telephone | 407-891-3054
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Fax |
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Provider Business Mailing Address
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Address Line | 10137 AUTHORS WAY
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City | ORLANDO
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State | FL
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Zip | 32832-6349
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Country | US
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Telephone | 917-576-5893
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 3017
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License Number State | CT
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