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General NPI Number Information
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NPI Number | 1487640876
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Entity Type | Organization
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Legal Business Name | CATHRYN CHARETTE DC A CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 587 5TH ST W
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City | SONOMA
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State | CA
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Zip | 95476-6831
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Country | US
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Telephone | 707-935-1006
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Fax | 707-935-7291
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Provider Business Mailing Address
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Address Line | 587 5TH ST W
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City | SONOMA
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State | CA
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Zip | 95476-6831
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Country | US
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Telephone | 707-935-1006
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Fax | 707-935-7291
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARTHUR LEON CHARETTE
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Credential | DC
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Telephone | 707-935-1006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | 23764
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 23764
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 23764
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 23764
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 23764
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License Number State | CA
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