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General NPI Number Information
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NPI Number | 1326573429
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Entity Type | Individual
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Provider Name | KATHERINE SUTER M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/26/2017
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 8525 TOBIAS AVE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-2953
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Country | US
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Telephone | 231-838-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 8525 TOBIAS AVE APT 262
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City | PANORAMA CITY
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State | CA
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Zip | 91402-2997
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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 | SP3049
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License Number State | ME
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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 | SLP001133
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License Number State | DC
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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 | SP31616
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License Number State | CA
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