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General NPI Number Information
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NPI Number | 1306500343
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Entity Type | Individual
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Provider Name | KELLY WALDROP SLP
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Gender | Female
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 709 W CONGRESS ST
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City | DENTON
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State | TX
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Zip | 76201-4011
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Country | US
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Telephone | 940-369-2355
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Fax |
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Provider Business Mailing Address
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Address Line | 4609 STILLHOUSE HOLLOW LN
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City | ARGYLE
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State | TX
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Zip | 76226-1951
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Country | US
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Telephone | 817-691-7205
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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 | 103089
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License Number State | TX
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