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General NPI Number Information
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NPI Number | 1700491693
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Entity Type | Individual
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Provider Name | EMILEE LATKOVIC LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1890 NORTHWEST BLVD STE 140
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City | COLUMBUS
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State | OH
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Zip | 43212-1637
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Country | US
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Telephone | 614-739-8926
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 748465
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City | ATLANTA
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State | GA
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Zip | 30374-8465
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Country | US
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Telephone | 855-284-7483
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Fax | 617-807-0958
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | F.2300341
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License Number State | OH
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