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General NPI Number Information
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NPI Number | 1407176373
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Entity Type | Individual
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Provider Name | KATHERINE ANNE JUREY
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Gender | Female
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Dates
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Enumeration Date | 06/02/2010
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 7100 GRAPHICS WAY
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City | LEWIS CENTER
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State | OH
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Zip | 43035-1122
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Country | US
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Telephone | 740-428-0428
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Fax |
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Provider Business Mailing Address
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Address Line | 7100 GRAPHICS WAY
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City | LEWIS CENTER
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State | OH
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Zip | 43035-1122
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Country | US
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Telephone | 614-401-4647
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.0602222
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License Number State | OH
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