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General NPI Number Information
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NPI Number | 1154992642
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Entity Type | Individual
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Provider Name | KATHERINE SCHULZE LPC
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Gender | Female
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 5184 N LIVERPOOL AVE
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City | BOISE
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State | ID
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Zip | 83714-5423
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Country | US
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Telephone | 678-410-6535
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 140503
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City | BOISE
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State | ID
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Zip | 83714-0503
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8233
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License Number State | ID
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