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General NPI Number Information
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NPI Number | 1528665148
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Entity Type | Individual
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Provider Name | KATHRYN ROSE WOOD
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Gender | Female
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Dates
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Enumeration Date | 10/06/2020
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 100 POWELL PL # 1095
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City | NASHVILLE
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State | TN
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Zip | 37204-3622
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Country | US
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Telephone | 615-829-6496
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Fax |
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Provider Business Mailing Address
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Address Line | 100 POWELL PL # 1095
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City | NASHVILLE
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State | TN
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Zip | 37204-3622
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Country | US
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Telephone | 615-829-6496
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 405805
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License Number State | LA
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 09750
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5001
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License Number State | TN
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