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General NPI Number Information
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NPI Number | 1285107144
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Entity Type | Individual
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Provider Name | KATHERYNE RIFFLE
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Gender | Female
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1345 E HENRI DE TONTI BLVD STE C
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City | TONTITOWN
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State | AR
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Zip | 72762-5347
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Country | US
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Telephone | 479-633-7547
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Fax | 479-595-8969
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Provider Business Mailing Address
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Address Line | 1345 E HENRI DE TONTI BLVD STE C
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City | TONTITOWN
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State | AR
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Zip | 72762-5347
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Country | US
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Telephone | 315-402-6427
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Fax | 479-595-8969
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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 |
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