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General NPI Number Information
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NPI Number | 1841918190
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Entity Type | Individual
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Provider Name | KATHERINE PENDLETON LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 211 N 1ST ST STE 335
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-2800
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Country | US
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Telephone | 971-220-2127
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Fax | 844-605-1865
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Provider Business Mailing Address
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Address Line | 2125 S TONNE DR APT 202
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-4125
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Country | US
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Telephone | 612-597-9091
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.028551
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34335
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License Number State | MN
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