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General NPI Number Information
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NPI Number | 1609838119
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Entity Type | Individual
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Provider Name | CATHERINE I MCDERMOTT APRN
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Gender | Female
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 3902 E STATE ROAD 64
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City | BRADENTON
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State | FL
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Zip | 34208-9059
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Country | US
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Telephone | 941-756-1200
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Fax | 941-739-9358
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Provider Business Mailing Address
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Address Line | 3902 E STATE ROAD 64
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City | BRADENTON
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State | FL
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Zip | 34208-9059
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Country | US
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Telephone | 941-756-1200
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Fax | 941-756-1200
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 000159
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 000637
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9371180
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License Number State | FL
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