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General NPI Number Information
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NPI Number | 1306708904
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Entity Type | Individual
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Provider Name | KILELY SAUDER
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Gender | Female
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 619 W CLARK ST
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City | CONNELL
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State | WA
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Zip | 99326
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Country | US
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Telephone | 509-234-4381
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Fax |
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Provider Business Mailing Address
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Address Line | 1652 E LEGION RD
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City | POST FALLS
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State | ID
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Zip | 83854-6427
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Country | US
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Telephone |
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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 | 30073
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7871465
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP.LL.70018546
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License Number State | WA
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