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General NPI Number Information
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NPI Number | 1073409595
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Entity Type | Individual
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Provider Name | EMALIE KING M.S. SLP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 10950 W FOREST HOME AVE STE 10
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City | HALES CORNERS
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State | WI
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Zip | 53130-2542
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Country | US
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Telephone | 414-522-8111
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Fax |
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Provider Business Mailing Address
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Address Line | N77W23271 HABITAT DR
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City | SUSSEX
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State | WI
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Zip | 53089-1561
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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 |
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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 | 6778-154
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License Number State | WI
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