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General NPI Number Information
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NPI Number | 1659778363
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Entity Type | Individual
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Provider Name | CATHY MCCARTHY CN
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Gender | Female
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 35 SIXTH ST
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City | STAMFORD
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State | CT
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Zip | 06905-4603
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Country | US
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Telephone | 203-324-5338
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2224
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City | POUND RIDGE
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State | NY
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Zip | 10576-3420
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Country | US
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Telephone | 203-900-7807
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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