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General NPI Number Information
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NPI Number | 1144536871
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Entity Type | Individual
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Provider Name | KATHARINE THOMAS ADDLESON L.I.C.S.W
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Gender | Female
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Dates
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Enumeration Date | 08/18/2010
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 1 COLLEGE DR
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City | BENNINGTON
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State | VT
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Zip | 05201-6003
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Country | US
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Telephone | 802-440-4459
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Fax |
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Provider Business Mailing Address
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Address Line | 36 MAIN ST
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City | CUMMINGTON
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State | MA
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Zip | 01026-9742
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Country | US
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Telephone | 978-879-7319
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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 |
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License Number State |
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