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General NPI Number Information
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NPI Number | 1053701847
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Entity Type | Individual
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Provider Name | KATLYN HEATH
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Gender | Female
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Dates
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Enumeration Date | 01/31/2015
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Last Update Date | 03/04/2019
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Provider Practice Location Address
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Address Line | 3665 ERIE AVE
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City | CINCINNATI
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State | OH
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Zip | 45208-1982
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Country | US
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Telephone | 513-673-1848
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Fax |
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Provider Business Mailing Address
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Address Line | 3665 ERIE AVE STE 5
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City | CINCINNATI
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State | OH
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Zip | 45208-1983
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Country | US
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Telephone | 513-673-1848
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1400032
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | F1800040
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License Number State | OH
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