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General NPI Number Information
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NPI Number | 1184073678
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Entity Type | Individual
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Provider Name | KARA LOUISE MCGANN M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 232 W 25TH ST
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City | ERIE
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State | PA
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Zip | 16544-0002
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Country | US
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Telephone | 814-452-5519
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Fax | 814-452-5682
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Provider Business Mailing Address
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Address Line | 3404 RUSTIC LN
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City | ERIE
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State | PA
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Zip | 16506-1642
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Country | US
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Telephone | 412-370-2378
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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 | SL009203
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License Number State | PA
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