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General NPI Number Information
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NPI Number | 1164785184
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Entity Type | Individual
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Provider Name | KATERRI PRINGLE OWNER
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Gender | Female
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Dates
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Enumeration Date | 06/25/2012
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 1053A SPARKLEBERRY LANE EXT
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City | COLUMBIA
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State | SC
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Zip | 29223-7066
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Country | US
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Telephone | 803-708-1221
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Fax | 803-339-4037
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Provider Business Mailing Address
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Address Line | 4611 HARD SCRABBLE RD STE 312
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City | COLUMBIA
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State | SC
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Zip | 29229-8584
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Country | US
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Telephone | 803-708-1221
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Fax | 803-339-4037
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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