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General NPI Number Information
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NPI Number | 1982946364
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Entity Type | Individual
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Provider Name | KATHRYN J POPE LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/23/2013
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 2025 N SUMMIT AVE STE 111
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City | MILWAUKEE
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State | WI
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Zip | 53202-1362
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Country | US
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Telephone | 312-757-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 S 1ST ST # 135
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City | MILWAUKEE
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State | WI
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Zip | 53204-2405
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Country | US
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Telephone | 312-757-0300
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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 | C-06342
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License Number State | NM
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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 | 149.021042
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11254-123
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License Number State | WI
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