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General NPI Number Information
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NPI Number | 1043941867
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Entity Type | Individual
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Provider Name | KATHERINE ELIZABETH LAIN LPC
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Gender | Female
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 200 W MAIN
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City | EL DORADO
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State | AR
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Zip | 71730
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Country | US
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Telephone | 817-565-7089
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Fax |
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Provider Business Mailing Address
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Address Line | 10 REMINGTON DR
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City | LITTLE ROCK
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State | AR
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Zip | 72204-8202
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Country | US
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Telephone | 877-455-8554
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A2103217
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P2409016
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License Number State | AR
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