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General NPI Number Information
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NPI Number | 1144801960
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Entity Type | Individual
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Provider Name | KATHERINE PROK LPC
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Gender | Female
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Dates
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Enumeration Date | 04/15/2021
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 3345 S POPPY ST
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City | MORRISON
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State | CO
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Zip | 80465-1591
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Country | US
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Telephone | 517-648-7565
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Fax |
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Provider Business Mailing Address
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Address Line | 3345 S POPPY ST
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City | MORRISON
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State | CO
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Zip | 80465-1591
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Country | US
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Telephone |
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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 | CO
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