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General NPI Number Information
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NPI Number | 1013560010
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Entity Type | Individual
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Provider Name | CHRISTINE MICHELLE CARSON MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 5322 N 52ND ST
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City | OMAHA
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State | NE
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Zip | 68104-2279
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Country | US
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Telephone | 531-299-6997
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Fax |
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Provider Business Mailing Address
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Address Line | 815 N 3RD ST
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City | ARKANSAS CITY
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State | KS
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Zip | 67005-1549
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Country | US
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Telephone | 620-660-3130
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2708
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License Number State | NE
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