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General NPI Number Information
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NPI Number | 1376985317
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Entity Type | Individual
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Provider Name | KATHRYN TIPTON BATTLES MPS, LADC, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2013
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 431 PINE ST STE 201
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City | BURLINGTON
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State | VT
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Zip | 05401-4726
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Country | US
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Telephone | 802-752-6269
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Fax |
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Provider Business Mailing Address
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Address Line | 229 N MAIN ST
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City | SAINT ALBANS
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State | VT
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Zip | 05478-1526
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Country | US
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Telephone | 802-782-8110
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 000549
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068.0073059
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License Number State | VT
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