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General NPI Number Information
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NPI Number | 1215449293
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Entity Type | Organization
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Legal Business Name | KATE ADKINS THERAPY LTD.
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 4041 N HIGH ST STE 300D
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City | COLUMBUS
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State | OH
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Zip | 43214-3200
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Country | US
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Telephone | 614-702-7104
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Fax | 614-702-7104
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Provider Business Mailing Address
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Address Line | 307 QUARTER WAY
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City | DELAWARE
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State | OH
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Zip | 43015-8209
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Country | US
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Telephone | 330-464-3420
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Fax | 614-807-2102
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATIE SUZANNE ADKINS
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Credential | PHD
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Telephone | 614-702-7104
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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 | M.1100014-SUPV
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.0600120-SUPV
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License Number State | OH
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