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General NPI Number Information
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NPI Number | 1740941178
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Entity Type | Individual
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Provider Name | MARY FRANCES CATH PTA
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Gender | Female
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 4801 PRETTY LAKE AVE
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City | NORFOLK
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State | VA
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Zip | 23518-2038
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Country | US
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Telephone | 757-210-6718
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Fax |
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Provider Business Mailing Address
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Address Line | 420 E PLANTATION RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-4029
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Country | US
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Telephone | 757-647-2971
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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