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General NPI Number Information
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NPI Number | 1699325225
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Entity Type | Individual
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Provider Name | CATHERINE ANNE AURORA PINNOLA MS, CAGS, NCSP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 4012 ATALAYA PL
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-5175
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Country | US
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Telephone | 267-221-0535
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Fax |
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Provider Business Mailing Address
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Address Line | 4012 ATALAYA PL
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-5175
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Country | US
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Telephone | 267-221-0535
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 279470
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License Number State | SC
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