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General NPI Number Information
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NPI Number | 1083440408
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Entity Type | Individual
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Provider Name | KRISTEN N ROLLINS
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Gender | Female
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 17718 HUNTING BOW CIR
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City | LUTZ
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State | FL
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Zip | 33558-5322
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Country | US
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Telephone | 813-973-1033
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Fax |
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Provider Business Mailing Address
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Address Line | 3045 N COMMERCE PKWY
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City | MIRAMAR
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State | FL
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Zip | 33025-3927
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Country | US
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Telephone | 813-973-1033
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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 | SZ12269
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License Number State | FL
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