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General NPI Number Information
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NPI Number | 1295949253
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Entity Type | Individual
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Provider Name | ANTHONY BRENT KIRBY MS, CCC-SLP
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 9820 ELK HORN LN
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City | KNOXVILLE
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State | TN
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Zip | 37922-3564
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Country | US
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Telephone | 865-805-8778
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Fax | 865-693-9991
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Provider Business Mailing Address
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Address Line | 9820 ELK HORN LN
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City | KNOXVILLE
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State | TN
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Zip | 37922-3564
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Country | US
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Telephone | 865-805-8778
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Fax | 865-693-9991
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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 | SP0000002701
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License Number State | TN
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