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General NPI Number Information
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NPI Number | 1972735686
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Entity Type | Individual
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Provider Name | CATHERINE JANE PRIDDY KOHLER D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 01/20/2014
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Provider Practice Location Address
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Address Line | 2819 GREAT NORTHERN LOOP STE 300
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City | MISSOULA
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State | MT
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Zip | 59808-1750
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Country | US
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Telephone | 406-317-1121
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Fax | 406-317-1875
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Provider Business Mailing Address
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Address Line | 2819 GREAT NORTHERN LOOP STE 300
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City | MISSOULA
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State | MT
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Zip | 59808-1750
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Country | US
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Telephone | 406-317-1121
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Fax | 406-317-1875
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6055
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2480
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License Number State | MT
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