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General NPI Number Information
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NPI Number | 1144585464
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Entity Type | Individual
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Provider Name | BRAD A. KOLANO M.A., LMFT
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Gender | Male
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Dates
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Enumeration Date | 07/12/2012
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 505 SILHAVY RD STE 100
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City | VALPARAISO
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State | IN
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Zip | 46383-4461
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Country | US
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Telephone | 219-464-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 505 SILHAVY RD STE 100
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City | VALPARAISO
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State | IN
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Zip | 46383-4461
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Country | US
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Telephone | 219-464-1234
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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 | 4101006591
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License Number State | MI
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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 | 35002036A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4101007426
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License Number State | MI
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