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General NPI Number Information
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NPI Number | 1154713444
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Entity Type | Organization
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Legal Business Name | KATHERINE KLINE, LPC
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Dates
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Enumeration Date | 02/24/2015
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Last Update Date | 02/24/2015
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Provider Practice Location Address
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Address Line | 7375 WELDON SPRING RD
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City | O FALLON
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State | MO
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Zip | 63368-8693
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Country | US
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Telephone | 517-256-4920
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Fax |
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Provider Business Mailing Address
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Address Line | 377 BECKLEY PL
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City | SAINT CHARLES
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State | MO
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Zip | 63304-1030
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Country | US
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Telephone | 517-256-4920
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATHERINE KLINE
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Credential | PHD, LPC, CRC
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Telephone | 517-256-4920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2013008779
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License Number State | MO
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