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General NPI Number Information
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NPI Number | 1013684133
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Entity Type | Individual
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Provider Name | KATELYN BARTON CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 3838 OVERDALE RD
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City | ROANOKE
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State | VA
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Zip | 24018-4438
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Country | US
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Telephone | 540-772-7556
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Fax |
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Provider Business Mailing Address
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Address Line | 201 MUSE FIELD RD
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-5796
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Country | US
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Telephone | 540-798-3111
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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 | 2204000749
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202010574
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License Number State | VA
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