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General NPI Number Information
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NPI Number | 1932326071
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Entity Type | Individual
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Provider Name | MICHAEL TINAMISAN CATAUSAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 304 S 4TH ST STE 301
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City | DANVILLE
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State | KY
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Zip | 40422-2081
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Country | US
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Telephone | 888-690-3696
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Fax |
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Provider Business Mailing Address
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Address Line | 4050 PENNSYLVANIA AVE STE 115 #96
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City | KANSAS CITY
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State | MO
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Zip | 64111-3041
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Country | US
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Telephone | 913-827-7273
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 6623
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-32543
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2009032076
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License Number State | MO
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