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General NPI Number Information
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NPI Number | 1720471428
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Entity Type | Individual
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Provider Name | ROGER CATO JR. DPT
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Gender | Male
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 29275 NORTHWESTERN HWY SUITE 100
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1044
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Country | US
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Telephone | 248-663-8199
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Fax |
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Provider Business Mailing Address
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Address Line | 1944 GARDNER AVE
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City | BERKLEY
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State | MI
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Zip | 48072-1272
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Country | US
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Telephone | 248-462-9212
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501016964
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License Number State | MI
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