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General NPI Number Information
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NPI Number | 1588488712
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Entity Type | Individual
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Provider Name | CATHERINE HAMILTON ALTIZER
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Gender | Female
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 2206 S MAIN ST STE C
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City | BLACKSBURG
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State | VA
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Zip | 24060-6733
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Country | US
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Telephone | 540-739-7514
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Fax |
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Provider Business Mailing Address
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Address Line | 814 TYVOLA RD STE 126
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City | CHARLOTTE
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State | NC
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Zip | 28217-3539
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Country | US
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Telephone | 980-785-1113
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Fax | 980-785-1114
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0133003982
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License Number State | VA
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