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General NPI Number Information
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NPI Number | 1134081714
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Entity Type | Individual
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Provider Name | KATHERINE ALLISON SOUTH
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Gender | Female
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 9401 ARROWPOINT BLVD
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City | CHARLOTTE
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State | NC
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Zip | 28273-8166
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Country | US
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Telephone | 704-426-3353
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Fax | 980-392-5580
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Provider Business Mailing Address
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Address Line | PO BOX 749
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City | BELMONT
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State | NC
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Zip | 28012-0749
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Country | US
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Telephone | 704-869-2088
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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 | 30004691
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License Number State | NC
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