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General NPI Number Information
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NPI Number | 1740908912
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Entity Type | Individual
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Provider Name | CATHERINE NALIBOFF
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Gender | Female
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 455 K ST
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City | CRESCENT CITY
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State | CA
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Zip | 95531-4107
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Country | US
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Telephone | 707-464-7224
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Fax | 707-465-4272
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Provider Business Mailing Address
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Address Line | 755 K STREET
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City | CRESCENT CITY
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State | CA
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Zip | 95531
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Country | US
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Telephone | 707-951-6466
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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