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General NPI Number Information
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NPI Number | 1477085900
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Entity Type | Individual
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Provider Name | CATHERINE ANNE HENNESSEY MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 525 E 68TH ST STE J-130
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 929-877-1752
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Fax |
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Provider Business Mailing Address
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Address Line | 150 MYRTLE AVE APT 1401
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City | BROOKLYN
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State | NY
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Zip | 11201-2913
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Country | US
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Telephone | 929-877-7886
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | NOT YET RECEIVED
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | NOT YET RECEIVED
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036155547
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 323673
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License Number State | NY
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