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General NPI Number Information
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NPI Number | 1336561471
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Entity Type | Individual
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Provider Name | CATHERINE CALDWELL CANALE RN
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Gender | Female
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | 1487 W KEISER AVE STE I
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City | OSCEOLA
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State | AR
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Zip | 72370-2806
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Country | US
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Telephone | 870-563-4500
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Fax | 870-563-4501
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Provider Business Mailing Address
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Address Line | 700 INDIANA ST
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City | BLYTHEVILLE
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State | AR
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Zip | 72315-1408
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Country | US
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Telephone | 901-647-2567
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Fax |
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | R095058
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | RTP-013866
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | RN0000065843
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License Number State | TN
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