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General NPI Number Information
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NPI Number | 1821873399
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Entity Type | Individual
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Provider Name | KATHRYN CALDWELL
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Gender | Female
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 4535 SOUTHWESTERN BLVD STE 710B
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City | HAMBURG
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State | NY
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Zip | 14075-1870
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Country | US
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Telephone | 716-431-3314
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Fax |
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Provider Business Mailing Address
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Address Line | 7119 LAKE SHORE RD
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City | DERBY
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State | NY
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Zip | 14047-9201
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Country | US
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Telephone | 716-864-5163
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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 | P127007
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 1665159221
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License Number State | NY
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