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General NPI Number Information
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NPI Number | 1306964721
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Entity Type | Individual
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Provider Name | CATHERINE WORDEN
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/09/2013
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Provider Practice Location Address
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Address Line | 7742 N M 129
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City | PICKFORD
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State | MI
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Zip | 49774-9003
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Country | US
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Telephone | 800-968-6866
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Fax |
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Provider Business Mailing Address
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Address Line | 7742 N. M-149 PO BOX 506
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City | PICKFORD
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State | MI
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Zip | 49774
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Country | US
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Telephone | 906-647-2217
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Fax | 906-647-2228
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704179081
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704179081
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License Number State | MI
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