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General NPI Number Information
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NPI Number | 1083199012
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Entity Type | Individual
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Provider Name | MRS. KAMI IVES
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Gender | Female
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 431 CRANBURY RD.
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816
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Country | US
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Telephone | 732-698-7062
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Fax |
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Provider Business Mailing Address
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Address Line | 106 DILLION CT
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-5502
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Country | US
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Telephone | 732-797-8477
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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 | 41YS00960300
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License Number State | NJ
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