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General NPI Number Information
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NPI Number | 1053123596
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Entity Type | Individual
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Provider Name | KAYLA MARIE PARRISH M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | CARILION CHILDREN'S PEDIATRIC THERAPY DEPARTMENT 4348 ELECTRIC RD, 1ST FLOOR
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City | ROANOKE
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State | VA
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Zip | 24018
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Country | US
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Telephone | 540-769-6974
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Fax | 540-857-5384
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Provider Business Mailing Address
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Address Line | CARILION CHILDREN'S PEDIATRIC THERAPY DEPARTMENT 4348 ELECTRIC RD, 1ST FLOOR
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City | ROANOKE
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State | VA
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Zip | 24018
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Country | US
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Telephone | 540-769-6974
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Fax | 540-857-5384
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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 | 2202011688
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License Number State | VA
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