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General NPI Number Information
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NPI Number | 1891516399
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Entity Type | Individual
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Provider Name | ERIN CATHERINE KEFALOS MS, ED. S.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 723 DAYTON RD
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City | WAYNESVILLE
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State | OH
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Zip | 45068-8432
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Country | US
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Telephone | 513-897-4706
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Fax |
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Provider Business Mailing Address
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Address Line | 723 DAYTON RD
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City | WAYNESVILLE
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State | OH
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Zip | 45068-8432
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Country | US
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Telephone | 513-897-4706
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | OH3384206
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License Number State | OH
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