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General NPI Number Information
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NPI Number | 1083234157
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Entity Type | Individual
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Provider Name | KERRY MCKEEVER CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/19/2020
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Last Update Date | 04/19/2020
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Provider Practice Location Address
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Address Line | 121 DUNNING RD
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City | MIDDLETOWN
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State | NY
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Zip | 10940-2243
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Country | US
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Telephone | 845-325-2692
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Fax |
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Provider Business Mailing Address
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Address Line | 47 WINTERGREEN AVE
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City | NEWBURGH
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State | NY
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Zip | 12550-3027
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Country | US
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Telephone | 845-325-2692
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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 | 029633
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License Number State | NY
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