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General NPI Number Information
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NPI Number | 1194101949
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Entity Type | Individual
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Provider Name | CATLEA GORMAN DPM
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Gender | Female
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 525 N SWITZER CANYON DR
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-4845
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Country | US
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Telephone | 928-773-2280
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Fax | 928-773-2281
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Provider Business Mailing Address
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Address Line | 525 N SWITZER CANYON DR
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-4845
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Country | US
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Telephone | 928-773-2280
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Fax | 928-773-2281
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 228
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | SC006979
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PD-000951
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License Number State | AZ
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