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General NPI Number Information
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NPI Number | 1093231573
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Entity Type | Individual
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Provider Name | MRS. KATHERINE E CULLEN
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Gender | Female
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 03/02/2024
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Provider Practice Location Address
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Address Line | 2207 LULU LIZZY LN
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City | KNOXVILLE
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State | TN
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Zip | 37932-2760
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Country | US
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Telephone | 929-247-9234
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Fax |
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Provider Business Mailing Address
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Address Line | 2207 LULU LIZZY LN
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City | KNOXVILLE
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State | TN
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Zip | 37932-2760
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Country | US
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Telephone | 929-247-9234
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089.0135624TELE
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9066
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 095937
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW024470
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | MC21997
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License Number State | ME
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Taxonomy #7
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 108024
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW140201
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License Number State | PA
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C016387
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License Number State | NC
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Taxonomy #10
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC22861
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License Number State | ME
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