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General NPI Number Information
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NPI Number | 1881206043
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Entity Type | Individual
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Provider Name | KATHERINE BOEHS MT-BC
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Gender | Female
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 10 COTTONWOOD LN APT 313
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City | CANYON
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State | TX
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Zip | 79015-2136
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Country | US
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Telephone | 806-418-1638
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Fax |
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Provider Business Mailing Address
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Address Line | 10 COTTONWOOD LN APT 313
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City | CANYON
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State | TX
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Zip | 79015-2136
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Country | US
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Telephone | 806-418-1638
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 14821
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License Number State | TX
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