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General NPI Number Information
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NPI Number | 1285426684
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Entity Type | Individual
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Provider Name | HAYLEY KATHLENE MARKS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1969 W OGDEN AVE
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City | CHICAGO
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State | IL
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Zip | 60612-3765
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Country | US
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Telephone | 312-864-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 728 N MORGAN ST # S1115
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City | CHICAGO
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State | IL
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Zip | 60642-6577
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Country | US
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Telephone | 954-461-7318
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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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