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General NPI Number Information
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NPI Number | 1972474427
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Entity Type | Individual
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Provider Name | KATEY GIBBINS-BURDETTE PHD
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 3033 KETTERING BLVD STE 324
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City | MORAINE
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State | OH
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Zip | 45439-1948
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Country | US
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Telephone | 937-882-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 3228 SHROYER RD
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City | KETTERING
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State | OH
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Zip | 45429-2634
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P.08847
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License Number State | OH
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