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General NPI Number Information
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NPI Number | 1841041514
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Entity Type | Individual
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Provider Name | MARY CATHERINE STATEN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/29/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 911 B ST STE 102
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City | CHESAPEAKE
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State | VA
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Zip | 23324-2462
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Country | US
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Telephone | 757-548-0014
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 412307
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City | BOSTON
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State | MA
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Zip | 02241-2307
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Country | US
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Telephone | 914-294-4050
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP037215T
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP044785T
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P19983
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP048649T
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License Number State | VA
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