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General NPI Number Information
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NPI Number | 1932613502
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Entity Type | Individual
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Provider Name | CATRINA MARIE HENLEY
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Gender | Female
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Dates
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Enumeration Date | 11/19/2017
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Last Update Date | 11/19/2017
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Provider Practice Location Address
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Address Line | 211 S MAIN ST
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City | HORSEHEADS
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State | NY
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Zip | 14845-2446
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Country | US
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Telephone | 607-795-1875
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Fax |
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Provider Business Mailing Address
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Address Line | 284 PIPER RD
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City | NEWFIELD
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State | NY
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Zip | 14867-9612
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Country | US
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Telephone | 607-564-4010
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 028-077
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License Number State | NY
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