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General NPI Number Information
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NPI Number | 1265213987
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Entity Type | Organization
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Legal Business Name | DR. CAT LLC
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 650 EUCLID AVE
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City | ELMIRA
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State | NY
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Zip | 14901-1948
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Country | US
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Telephone | 412-657-0382
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Fax |
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Provider Business Mailing Address
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Address Line | 418 BROADWAY STE R
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 412-657-0382
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NIXI CAT
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Credential | DO
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Telephone | 412-657-0382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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