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General NPI Number Information
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NPI Number | 1780505669
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Entity Type | Individual
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Provider Name | KATE LAUREN MCKINNEY BS, MA
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Gender | Female
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | PO BOX 6050
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City | FARGO
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State | ND
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Zip | 58108-6050
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Country | US
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Telephone | 701-231-7671
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Fax |
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Provider Business Mailing Address
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Address Line | 8046 CHEYENNE AVE
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City | CHANHASSEN
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State | MN
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Zip | 55317-9783
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Country | US
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Telephone | 952-463-0064
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State | ND
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