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General NPI Number Information
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NPI Number | 1225145535
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Entity Type | Individual
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Provider Name | CATHERINE L. BOURNE M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7170 125TH ST
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City | SEMINOLE
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State | FL
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Zip | 33772-5503
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Country | US
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Telephone | 727-397-7974
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Fax | 727-397-7974
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Provider Business Mailing Address
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Address Line | 7170 125TH ST
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City | SEMINOLE
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State | FL
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Zip | 33772-5503
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Country | US
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Telephone | 727-397-7974
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Fax | 727-397-7974
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT917
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License Number State | FL
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