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General NPI Number Information
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NPI Number | 1730324047
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Entity Type | Organization
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Legal Business Name | NOVA CAT INCORPORATION
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Dates
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Enumeration Date | 12/16/2008
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 101 S FEDERAL HWY
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City | LAKE WORTH
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State | FL
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Zip | 33460-4228
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Country | US
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Telephone | 561-582-4151
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Fax | 561-582-4393
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Provider Business Mailing Address
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Address Line | 5733 NW 50TH ST
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4010
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Country | US
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Telephone | 954-346-8347
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | DR. MARY SCANLON
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Credential | D.O.
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Telephone | 561-302-8975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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