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General NPI Number Information
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NPI Number | 1265730022
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Entity Type | Individual
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Provider Name | KERRI ANN DRENNAN MA SLP
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Gender | Female
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 2901 216TH ST
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City | BAYSIDE
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State | NY
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Zip | 11360-2810
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Country | US
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Telephone | 718-281-8950
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Fax |
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Provider Business Mailing Address
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Address Line | 41 PINECONE LN
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City | WESTBURY
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State | NY
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Zip | 11590-6204
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Country | US
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Telephone | 516-334-6137
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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 | 019644
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License Number State | NY
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