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General NPI Number Information
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NPI Number | 1194419283
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Entity Type | Individual
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Provider Name | KELSEY ANNE POWELL CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 4540 W 10TH AVE
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City | DENVER
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State | CO
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Zip | 80204-2913
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Country | US
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Telephone | 720-424-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 SOUTHHAMPTON DR
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City | BOURBONNAIS
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State | IL
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Zip | 60914-1628
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Country | US
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Telephone | 815-370-3822
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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 |
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License Number State |
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