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General NPI Number Information
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NPI Number | 1861623050
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Entity Type | Organization
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Legal Business Name | DR. CATHLEEN MURTAUGH AMADOR, PSY.D. L.L.C.
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | 9111 BROADWAY SUITE N
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City | MERRILLVILLE
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State | IN
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Zip | 46410-8122
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Country | US
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Telephone | 219-791-1006
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Fax | 219-791-1007
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Provider Business Mailing Address
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Address Line | 1685 CAPITOL DR
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City | HOBART
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State | IN
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Zip | 46342-6213
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Country | US
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Telephone | 219-588-4054
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Fax | 219-791-1007
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. CATHLEEN MURTAUGH AMADOR
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Credential | PSY.D.
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Telephone | 219-791-1006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 20041768A
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License Number State | IN
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