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General NPI Number Information
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NPI Number | 1831338185
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Entity Type | Individual
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Provider Name | CATHERINE HUDSON L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 12815 US HIGHWAY 98 W SUITE 114
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City | DESTIN
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State | FL
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Zip | 32550-3209
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Country | US
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Telephone | 850-837-2002
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Fax | 850-837-8230
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Provider Business Mailing Address
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Address Line | 12815 US HIGHWAY 98 W SUITE 114
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City | DESTIN
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State | FL
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Zip | 32550-3209
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Country | US
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Telephone | 850-837-2002
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Fax | 850-837-8230
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA39915
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License Number State | FL
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