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General NPI Number Information
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NPI Number | 1043603012
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Entity Type | Organization
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Legal Business Name | KATELYN BROTHERS, SPEECH-LANGUAGE PATHOLOGIST, PLLC
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Dates
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Enumeration Date | 03/14/2015
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Last Update Date | 03/14/2015
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Provider Practice Location Address
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Address Line | 2043 E 58TH ST
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City | BROOKLYN
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State | NY
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Zip | 11234-4103
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Country | US
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Telephone | 347-538-1296
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Fax |
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Provider Business Mailing Address
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Address Line | 2043 E 58TH ST
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City | BROOKLYN
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State | NY
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Zip | 11234-4103
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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 | SPEECH-LANGUAGE PATHOLOGIST
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Name | KATELYN BROTHERS
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Credential | M.S., CCC-SLP
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Telephone | 347-538-1296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 023111
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License Number State | NY
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