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General NPI Number Information
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NPI Number | 1144418328
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Entity Type | Organization
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Legal Business Name | WILLIE J. CATER, M.D. P.C.
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 2110 DORCHESTER AVE SETON MEDICAL OFFICE BLDG, SUITE 211
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City | DORCHESTER CENTER
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State | MA
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Zip | 02124-5628
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Country | US
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Telephone | 617-296-6622
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Fax | 617-296-4827
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Provider Business Mailing Address
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Address Line | PO BOX 55849
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City | BOSTON
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State | MA
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Zip | 02205-5849
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Country | US
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Telephone | 617-296-6622
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Fax | 617-296-4827
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | MRS. CHRISTINE CELLUCCI
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Credential |
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Telephone | 781-410-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 34911
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License Number State | MA
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