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General NPI Number Information
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NPI Number | 1487752838
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Entity Type | Individual
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Provider Name | CATHERINE A MUSICK-VINYARD LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 7471 RUDELL RD
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City | CORONA
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State | CA
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Zip | 92881-4278
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Country | US
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Telephone | 919-345-5174
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Fax |
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Provider Business Mailing Address
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Address Line | 3359 CHICAGO AVE
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City | RIVERSIDE
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State | CA
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Zip | 92507-6820
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Country | US
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Telephone | 919-345-5174
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C004072
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7579
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License Number State | CA
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