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General NPI Number Information
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NPI Number | 1164010476
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Entity Type | Organization
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Legal Business Name | KATHLEEN GEORGE M.S., CCC-SLP, LLC
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Dates
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Enumeration Date | 01/04/2021
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 104 SAINT ANDREWS DR
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City | PALESTINE
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State | TX
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Zip | 75803-8328
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Country | US
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Telephone | 214-600-2295
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Fax |
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Provider Business Mailing Address
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Address Line | 104 SAINT ANDREWS DR
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City | PALESTINE
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State | TX
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Zip | 75803-8328
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHLEEN GEORGE
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Credential | M.S., CCC-SLP
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Telephone | 214-600-2295
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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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