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General NPI Number Information
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NPI Number | 1780831313
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Entity Type | Individual
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Provider Name | CATHERINE COLELLA M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | SKILL CENTER ROAD
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City | SACATON
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State | AZ
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Zip | 85247
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Country | US
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Telephone | 520-562-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 1992 W FALCON DR
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City | CHANDLER
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State | AZ
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Zip | 85286-7937
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Country | US
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Telephone | 480-335-3249
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP2095
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License Number State | AZ
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