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General NPI Number Information
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NPI Number | 1013688308
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Entity Type | Individual
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Provider Name | KATHERINE STRATTON POSCH PSYD, LP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2021
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 470 W 78TH ST STE 220
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City | CHANHASSEN
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State | MN
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Zip | 55317-4526
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Country | US
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Telephone | 612-234-7517
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Fax |
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Provider Business Mailing Address
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Address Line | 470 W 78TH ST STE 220
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City | CHANHASSEN
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State | MN
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Zip | 55317-4526
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Country | US
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Telephone | 612-234-7517
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP6710
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License Number State |
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