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General NPI Number Information
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NPI Number | 1508821281
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Entity Type | Individual
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Provider Name | CATHALINE L PEARSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 9310 S EASTERN AVE SUITE 122
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City | LAS VEGAS
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State | NV
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Zip | 89123-6843
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Country | US
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Telephone | 702-489-3300
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Fax | 702-410-9143
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Provider Business Mailing Address
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Address Line | PO BOX 34934
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City | LAS VEGAS
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State | NV
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Zip | 89133-4934
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA895
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA-C0156
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2937
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License Number State | AZ
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