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General NPI Number Information
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NPI Number | 1306655410
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Entity Type | Individual
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Provider Name | KATELAND KEENE LSW
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Gender | Female
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 5150 E MAIN ST LOWR LEVEL
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City | COLUMBUS
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State | OH
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Zip | 43213-2441
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Country | US
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Telephone | 614-604-8274
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Fax |
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Provider Business Mailing Address
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Address Line | 1591 NORTHBROOK DR
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City | LIMA
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State | OH
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Zip | 45805-1069
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Country | US
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Telephone | 479-372-2743
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2411733
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License Number State | OH
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