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General NPI Number Information
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NPI Number | 1902003726
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Entity Type | Individual
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Provider Name | AMANDA MARIE CATTELINO MD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 925 E MCDOWELL RD 4TH FLOOR
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City | PHOENIX
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State | AZ
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Zip | 85006-2502
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Country | US
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Telephone | 602-239-6802
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Fax |
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Provider Business Mailing Address
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Address Line | 10038 S 46TH PL
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City | PHOENIX
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State | AZ
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Zip | 85044-1108
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Country | US
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Telephone | 602-750-7240
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 81257
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License Number State | AZ
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