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General NPI Number Information
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NPI Number | 1083154686
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Entity Type | Organization
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Legal Business Name | KEYS TO COMMUNICATION, INC
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 1280 17TH ST SW
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City | NAPLES
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State | FL
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Zip | 34117-4424
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Country | US
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Telephone | 786-457-6074
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 17TH ST SW
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City | NAPLES
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State | FL
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Zip | 34117-4424
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Country | US
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Telephone | 786-457-6074
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH LANGUAGE PATHOLOGIST
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Name | KRISTIN PAULSON NOVAK
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Credential |
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Telephone | 786-457-6074
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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 | SA7136
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License Number State | FL
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