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General NPI Number Information
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NPI Number | 1174496053
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Entity Type | Organization
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Legal Business Name | AFFIRMABILITIES PEDIATRIC THERAPY
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 132 GLENDALE LN
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City | SOMERSET
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State | KY
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Zip | 42501-1112
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Country | US
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Telephone | 606-259-9259
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Fax | 606-467-2190
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Provider Business Mailing Address
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Address Line | 604 BOURNE AVE
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City | SOMERSET
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State | KY
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Zip | 42501-1920
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Country | US
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Telephone | 606-259-9259
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Fax | 606-467-2190
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Authorized Official
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Title or Position | OWNER
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Name | KATI WILSON
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Credential | MS, CCC-SLP
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Telephone | 606-259-9259
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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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