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General NPI Number Information
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NPI Number | 1356638043
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Entity Type | Individual
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Provider Name | KAITLYN A. GAGNE M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 07/01/2011
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Provider Practice Location Address
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Address Line | 42 N MAIN ST UNIT 71
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1927
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Country | US
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Telephone | 860-368-0642
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 114
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City | ASHFORD
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State | CT
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Zip | 06278-0114
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Country | US
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Telephone | 860-368-0642
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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 | 004403
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License Number State | CT
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