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General NPI Number Information
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NPI Number | 1881684785
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Entity Type | Individual
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Provider Name | CATHY MCCURDY PAC
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Gender | Female
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 103 CHICO CT
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City | MONTE VISTA
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State | CO
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Zip | 81144-1065
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Country | US
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Telephone | 719-852-9400
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Fax | 719-852-9311
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Provider Business Mailing Address
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Address Line | 106 BLANCA AVE
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City | ALAMOSA
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State | CO
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Zip | 81101-2340
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Country | US
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Telephone | 719-589-2511
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Fax | 719-587-1372
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 87
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License Number State | CO
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