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General NPI Number Information
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NPI Number | 1992784912
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Entity Type | Individual
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Provider Name | CATHERINE ELAINE FOX MA CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 155 W 8TH ST STE 401 ERIE COUNTY CARE MANAGEMENT
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City | ERIE
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State | PA
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Zip | 16501-1044
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Country | US
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Telephone | 814-871-5170
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Fax | 814-434-8411
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Provider Business Mailing Address
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Address Line | 176 CAMBRIDGE RD
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City | ERIE
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State | PA
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Zip | 16511
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Country | US
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Telephone | 814-392-2386
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SL005422L
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License Number State | PA
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