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General NPI Number Information
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NPI Number | 1376299321
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Entity Type | Individual
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Provider Name | CATRINA COFER LMT
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Gender | Female
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Dates
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Enumeration Date | 02/28/2022
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 5113A S HARPER AVE
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City | CHICAGO
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State | IL
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Zip | 60615-4119
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Country | US
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Telephone | 708-628-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 1642 E 56TH ST APT 912
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City | CHICAGO
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State | IL
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Zip | 60637-5812
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Country | US
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Telephone |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227.019527
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License Number State | IL
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