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General NPI Number Information
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NPI Number | 1578836029
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Entity Type | Individual
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Provider Name | CATHERINE ANN YURA ED.D.
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Gender | Female
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | STUDENT SERVICES BUILDING
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City | MORGANTOWN
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State | WV
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Zip | 26506
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Country | US
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Telephone | 304-293-4431
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Fax | 304-293-3705
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Provider Business Mailing Address
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Address Line | 9 IROQUOIS WAY
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City | MORGANTOWN
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State | WV
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Zip | 26508-2977
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Country | US
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Telephone | 304-594-0078
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 678
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License Number State | WV
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