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General NPI Number Information
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NPI Number | 1427664093
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Entity Type | Individual
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Provider Name | CATHERINE HERICO DIONEDA
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Gender | Female
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Dates
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Enumeration Date | 09/19/2020
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Last Update Date | 09/19/2020
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Provider Practice Location Address
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Address Line | 1 GILMORE LN
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City | OROVILLE
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State | CA
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Zip | 95966-5147
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Country | US
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Telephone | 916-833-4798
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Fax |
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Provider Business Mailing Address
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Address Line | 1886 NOTRE DAME BLVD UNIT 1
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City | CHICO
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State | CA
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Zip | 95928-7493
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Country | US
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Telephone | 916-833-4798
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 43205
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License Number State | CA
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