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General NPI Number Information
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NPI Number | 1285559229
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Entity Type | Individual
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Provider Name | KATE STACKEN DAWSON CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 6600 FRANCE AVE S STE 164
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City | EDINA
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State | MN
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Zip | 55435-1802
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Country | US
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Telephone | 952-600-5882
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Fax | 844-444-0718
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Provider Business Mailing Address
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Address Line | 6600 FRANCE AVE S STE 164
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City | EDINA
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State | MN
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Zip | 55435-1802
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Country | US
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Telephone | 952-600-5882
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Fax | 844-444-0718
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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 | LICC-1171
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License Number State | MN
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