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General NPI Number Information
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NPI Number | 1255039731
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Entity Type | Individual
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Provider Name | KRISTEN KERRIGAN CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 4 HENDRICKSON AVE STE 4
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City | RED BANK
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State | NJ
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Zip | 07701-6155
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Country | US
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Telephone | 732-639-1551
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Fax | 732-335-6759
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Provider Business Mailing Address
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Address Line | 4 HENDRICKSON AVE STE 4
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City | RED BANK
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State | NJ
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Zip | 07701-6155
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Country | US
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Telephone | 732-639-1551
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Fax | 732-335-6759
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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 | 18082
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License Number State | OR
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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 | 122092
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 41YS01193200
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | TPSA443
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 39465
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License Number State | CA
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