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NPI 1275906588

NPI 1275906588 : HOPE LYKINS, SLP : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1275906588
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOPE LYKINS, SLP 
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Dates
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    Enumeration Date     |    11/09/2015
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    Last Update Date     |    11/09/2015
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Provider Practice Location Address
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    Address Line         |    3692 COTTAGE CIR 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40513-1106
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    Country              |    US
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    Telephone            |    859-948-2347
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    Fax                  |    859-296-4392
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Provider Business Mailing Address
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    Address Line         |    3692 COTTAGE CIR 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40513-1106
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    Country              |    US
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    Telephone            |    859-948-2347
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    Fax                  |    859-296-4392
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Authorized Official
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    Title or Position    |    SPEECH-LANGUAGE PATHOLOGIST/OWNER
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    Name                 |    MRS. DIANA HOPE LYKINS 
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    Credential           |    M.A.,CCC/SLP
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    Telephone            |    859-948-2347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    1624
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    License Number State |    KY
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