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General NPI Number Information
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NPI Number | 1235542945
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Entity Type | Organization
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Legal Business Name | WHITE CAT, INC
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 410 E MAIN ST # 5
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City | ATLANTA
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State | TX
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Zip | 75551-2640
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Country | US
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Telephone | 903-824-8799
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Fax |
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Provider Business Mailing Address
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Address Line | 9806 E WILLIAMS ST
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City | RODESSA
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State | LA
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Zip | 71069-9317
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Country | US
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Telephone | 903-824-8799
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAN HARVILLE
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Credential |
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Telephone | 903-824-8799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 80524
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License Number State | TX
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