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General NPI Number Information
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NPI Number | 1164387874
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Entity Type | Individual
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Provider Name | CATHERINE WARD
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Gender | Female
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 4440 W 95TH ST
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City | OAK LAWN
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State | IL
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Zip | 60453-2600
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Country | US
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Telephone | 708-684-1339
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 S TOWER RD
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City | DAWSON
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State | IL
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Zip | 62520-3189
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Country | US
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Telephone |
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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 | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 164.008756
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License Number State | IL
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