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General NPI Number Information
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NPI Number | 1982656377
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Entity Type | Individual
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Provider Name | CATHERINE LOUISE MYTON PHD, AMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 06/12/2017
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Provider Practice Location Address
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Address Line | 219 LE PHILLIP CT NE
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City | CONCORD
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State | NC
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Zip | 28025-2900
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Country | US
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Telephone | 704-721-5551
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Fax | 704-721-5579
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Provider Business Mailing Address
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Address Line | 2933 COLLINSVILLE RD.
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City | COLUMBUS
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State | NC
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Zip | 28722
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Country | US
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Telephone | 828-863-2771
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Fax | 828-894-8456
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 950016
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License Number State | NC
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