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General NPI Number Information
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NPI Number | 1699178947
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Entity Type | Organization
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Legal Business Name | KATE MARTIN COUNSELING
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 4003 MURPHY RD
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City | NASHVILLE
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State | TN
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Zip | 37209-4910
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Country | US
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Telephone | 615-332-5218
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Fax | 615-647-7849
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Provider Business Mailing Address
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Address Line | 4003 MURPHY RD
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City | NASHVILLE
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State | TN
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Zip | 37209-4910
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Country | US
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Telephone | 615-332-5218
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Fax | 615-647-7849
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | KATHRYN MARTIN
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Credential | M.ED., LPC-MHSP
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Telephone | 615-332-5218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 318347
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License Number State | TN
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