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General NPI Number Information
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NPI Number | 1164381836
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Entity Type | Individual
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Provider Name | CATHERINE GILLETTE
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Gender | Female
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | PO BOX 392
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City | TRAVERSE CITY
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State | MI
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Zip | 49685-0392
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Country | US
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Telephone | 231-268-0007
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Fax | 231-525-3170
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Provider Business Mailing Address
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Address Line | 6421 N SHIPPY RD SW
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City | SOUTH BOARDMAN
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State | MI
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Zip | 49680-8609
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Country | US
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Telephone | 231-342-3268
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | MI
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