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General NPI Number Information
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NPI Number | 1356996854
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Entity Type | Individual
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Provider Name | CATHERINE LANDI ATC
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Gender | Female
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Dates
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Enumeration Date | 08/02/2019
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 210 LINDSEY WILSON ST
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City | COLUMBIA
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State | KY
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Zip | 42728-1298
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Country | US
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Telephone | 800-264-0138
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 CURRITUCK WAY
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City | YORK
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State | SC
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Zip | 29745-2878
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Country | US
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Telephone | 520-906-4922
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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