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General NPI Number Information
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NPI Number | 1073336061
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Entity Type | Individual
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Provider Name | KAITLIN SCHNEIDER
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Gender | Female
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 205 N ADAMS ST
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City | FLANAGAN
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State | IL
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Zip | 61740-9036
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Country | US
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Telephone | 815-844-7115
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Fax |
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Provider Business Mailing Address
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Address Line | 1311 CHADWICK DR
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City | NORMAL
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State | IL
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Zip | 61761-1920
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Country | US
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Telephone | 630-973-8361
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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 | 146012778
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License Number State | IL
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