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General NPI Number Information
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NPI Number | 1265462345
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Entity Type | Individual
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Provider Name | KATHLEEN CHARD PHD
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CINCINNATI VA MEDICAL CENTER 3200 VINE STREET
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City | CINCINNATI
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State | OH
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Zip | 45220
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Country | US
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Telephone | 513-861-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 4706 HOWARD AVE
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City | CINCINNATI
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State | OH
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Zip | 45223-1625
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Country | US
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Telephone | 513-861-3100
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1091
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License Number State | KY
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