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General NPI Number Information
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NPI Number | 1093028722
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Entity Type | Individual
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Provider Name | KATHY KORELL-RACH PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 01/21/2019
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Provider Practice Location Address
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Address Line | 1905 W 8TH ST STE 100
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City | LOVELAND
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State | CO
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Zip | 80537-5294
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Country | US
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Telephone | 970-286-7856
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Fax |
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Provider Business Mailing Address
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Address Line | 7170 HOMER RD
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City | LOVELAND
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State | CO
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Zip | 80537-9651
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Country | US
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Telephone | 970-286-7856
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | NLC.0012210
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY.0004016
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License Number State | CO
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