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General NPI Number Information
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NPI Number | 1346891140
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Entity Type | Individual
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Provider Name | CATHERINE DURANDO INGLAND PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1100 BLYTHE BLVD
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City | CHARLOTTE
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State | NC
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Zip | 28203-5814
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Country | US
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Telephone | 704-355-3558
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CAMPUS DR
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City | ELON
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State | NC
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Zip | 27244-9423
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Country | US
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Telephone | 704-620-0601
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-15224
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License Number State | NC
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