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General NPI Number Information
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NPI Number | 1396198537
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Entity Type | Individual
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Provider Name | KATHERINE LOVE-PRIDE LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/22/2016
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 1107 N CHARLES G SEIVERS BLVD SUITE 101
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City | CLINTON
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State | TN
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Zip | 37716-3944
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Country | US
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Telephone | 865-934-6150
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Fax | 865-342-0150
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Provider Business Mailing Address
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Address Line | 6350 W ANDREW JOHNSON HWY DEPARTMENT 100
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City | TALBOTT
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State | TN
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Zip | 37877-8605
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Country | US
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Telephone | 800-355-3565
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Fax | 423-714-2355
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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 | 10693
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License Number State | TN
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