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General NPI Number Information
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NPI Number | 1659085959
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Entity Type | Individual
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Provider Name | KATINKA BOYD TLPC
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Gender | Female
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Dates
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Enumeration Date | 01/11/2023
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 2417 DAYTON BLVD
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City | CHATTANOOGA
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State | TN
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Zip | 37415-6226
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Country | US
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Telephone | 423-205-1218
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Fax | 844-206-1291
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Provider Business Mailing Address
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Address Line | 5826 FORT SUMTER DR
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City | HARRISON
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State | TN
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Zip | 37341-9457
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Country | US
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Telephone | 423-763-8778
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5586
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License Number State | TN
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