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General NPI Number Information
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NPI Number | 1235351834
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Entity Type | Organization
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Legal Business Name | AFFILIATED SPEECH PATHOLOGY, INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1831 TRUXTUN AVE. STE. 150
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City | BAKERSFIELD
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State | CA
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Zip | 93301
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Country | US
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Telephone | 661-323-4591
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Fax | 661-323-8603
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Provider Business Mailing Address
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Address Line | 1831 TRUXTUN AVE. STE. 150
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City | BAKERSFIELD
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State | CA
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Zip | 93301
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Country | US
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Telephone | 661-323-4591
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Fax | 661-323-8603
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Authorized Official
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Title or Position | PARTNER
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Name | KAREN KELLY
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Credential |
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Telephone | 661-323-4591
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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 | SP12598
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License Number State | CA
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