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General NPI Number Information
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NPI Number | 1205902228
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Entity Type | Individual
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Provider Name | MILVA CATALLOZZI MS.,PT
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 1417 DOUGLAS AVENUE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-4057
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Country | US
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Telephone | 401-353-9100
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Fax | 401-353-9101
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Provider Business Mailing Address
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Address Line | PO BOX 114099
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02911-0299
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Country | US
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Telephone | 401-353-9100
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Fax | 401-353-9101
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 00986
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License Number State | RI
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