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General NPI Number Information
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NPI Number | 1417331737
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Entity Type | Individual
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Provider Name | CATHERINE S SPINA MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 622 W 168TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-2991
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Fax |
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Provider Business Mailing Address
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Address Line | 71 W 83RD ST APT 3R
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City | NEW YORK
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State | NY
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Zip | 10024-5267
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Country | US
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Telephone | 857-498-1189
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 263270
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 305743
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License Number State | NY
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