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General NPI Number Information
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NPI Number | 1780701730
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Entity Type | Individual
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Provider Name | KATHERINE DIDION PCC
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 135 CHESTERFIELD LN
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City | MAUMEE
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State | OH
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Zip | 43537-4314
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Country | US
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Telephone | 410-578-7273
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Fax |
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Provider Business Mailing Address
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Address Line | 10381 WHITE OAK DR
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City | PERRYSBURG
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State | OH
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Zip | 43551-9407
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Country | US
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Telephone | 419-872-2711
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2489
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License Number State | OH
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