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General NPI Number Information
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NPI Number | 1356180772
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Entity Type | Organization
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Legal Business Name | ONTRAK MEDICAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 215 SUMMIT ST
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City | WINONA
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State | MS
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Zip | 38967-2234
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Country | US
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Telephone | 662-417-8278
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1004
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City | WINONA
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State | MS
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Zip | 38967-1004
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Country | US
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Telephone | 662-417-8278
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Fax |
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Authorized Official
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Title or Position | FNP-BC, PMHNP-BC
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Name | DR. KATHERINE WARD HUGHES
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Credential | DOCTOR OF NURSING PR
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Telephone | 662-417-8278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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