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General NPI Number Information
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NPI Number | 1336754811
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Entity Type | Individual
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Provider Name | KATHERINE BRAND
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Gender | Female
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Dates
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Enumeration Date | 09/11/2020
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 911 N ELM ST STE 316
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City | HINSDALE
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State | IL
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Zip | 60521-3642
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Country | US
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Telephone | 630-655-0404
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Fax |
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Provider Business Mailing Address
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Address Line | 325 N EDGEWOOD AVE
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City | LA GRANGE PARK
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State | IL
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Zip | 60526-5505
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Country | US
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Telephone | 630-334-7728
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 178.016237
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License Number State | IL
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