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General NPI Number Information
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NPI Number | 1164112058
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Entity Type | Individual
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Provider Name | KAYLA MAREE BRYANT M.A., CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 05/12/2023
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 38095 OH-39
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City | SALINEVILLE
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State | OH
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Zip | 43945
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Country | US
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Telephone | 330-679-2343
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Fax |
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Provider Business Mailing Address
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Address Line | 300 MAHAN LN
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City | FOLLANSBEE
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State | WV
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Zip | 26037-1034
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Country | US
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Telephone | 304-914-5420
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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 | SP.15253
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License Number State | OH
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