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General NPI Number Information
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NPI Number | 1619486594
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Entity Type | Organization
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Legal Business Name | KALI THOMPSON, LLC
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Dates
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Enumeration Date | 09/23/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 237 N PRINCE ST STE 204
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City | LANCASTER
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State | PA
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Zip | 17603-4062
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Country | US
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Telephone | 717-406-3877
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Fax |
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Provider Business Mailing Address
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Address Line | 237 N PRINCE ST STE 204
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City | LANCASTER
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State | PA
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Zip | 17603-4062
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Country | US
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Telephone | 717-406-3877
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | KALI LENN THOMPSON
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Credential | LCSW
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Telephone | 717-406-3877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | CW018375
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License Number State | PA
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