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General NPI Number Information
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NPI Number | 1104607092
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Entity Type | Individual
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Provider Name | KAELA SHERMAN CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 166 BAY SPRING AVE
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City | BARRINGTON
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State | RI
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Zip | 02806-1393
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Country | US
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Telephone | 401-359-4898
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Fax |
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Provider Business Mailing Address
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Address Line | 45 SEFTON DR
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City | BRISTOL
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State | RI
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Zip | 02809-4914
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Country | US
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Telephone | 401-297-7755
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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 |
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License Number State |
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