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General NPI Number Information
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NPI Number | 1467675942
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Entity Type | Individual
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Provider Name | CATHY LEE CARR NONE
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 634 PRESSLEY ST
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City | SANTA ROSA
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State | CA
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Zip | 95404-5526
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Country | US
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Telephone | 707-573-6955
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Fax | 707-573-8176
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Provider Business Mailing Address
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Address Line | 1410 GUERNEVILLE RD 14
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City | SANTA ROSA
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State | CA
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Zip | 95403-7231
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Country | US
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Telephone | 707-575-0979
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Fax | 707-573-6968
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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