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General NPI Number Information
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NPI Number | 1073746418
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Entity Type | Individual
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Provider Name | SHELLEY SUE GRAFT SLP
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Gender | Female
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 491 STRATTON DR
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City | FLORENCE
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State | KY
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Zip | 41042-2964
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Country | US
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Telephone | 859-653-9124
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Fax |
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Provider Business Mailing Address
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Address Line | 491 STRATTON DR
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City | FLORENCE
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State | KY
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Zip | 41042-2964
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Country | US
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Telephone | 859-653-9124
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Fax | 610-300-4612
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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 | 139334
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License Number State | KY
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