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General NPI Number Information
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NPI Number | 1164071106
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Entity Type | Individual
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Provider Name | ISABELLA KEARNEY M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 246 WILSON PIKE CIR
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City | BRENTWOOD
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State | TN
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Zip | 37027-2745
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Country | US
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Telephone | 615-236-6566
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Fax |
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Provider Business Mailing Address
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Address Line | 1024 15TH AVE S
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City | NASHVILLE
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State | TN
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Zip | 37212-2414
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Country | US
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Telephone | 615-708-0056
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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 | 6324
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License Number State | TN
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