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General NPI Number Information
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NPI Number | 1811179146
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Entity Type | Organization
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Legal Business Name | CATHERINE MYTON,ARNP,PH.D
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 132 COMMERCIAL DR SUITE 120
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City | FOREST CITY
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State | NC
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Zip | 28043-2400
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Country | US
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Telephone | 828-863-4554
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1412
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City | COLUMBUS
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State | NC
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Zip | 28722-1412
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CATHERINE L MYTON
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Credential | ARNP
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Telephone | 828-863-2554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 950016
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License Number State | NC
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