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General NPI Number Information
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NPI Number | 1306714241
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Entity Type | Individual
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Provider Name | LARA ANNE MCKEE ASHA CCC
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Gender | Female
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 547 N STATION PKWY
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City | FARMINGTON
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State | UT
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Zip | 84025-2888
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Country | US
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Telephone | 385-220-8211
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Fax |
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Provider Business Mailing Address
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Address Line | 1547 HILDA DR
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City | FRUIT HEIGHTS
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State | UT
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Zip | 84037-2790
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Country | US
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Telephone | 844-502-7996
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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 | 12002324
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License Number State | UT
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