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NPI 1366260705

NPI 1366260705 : KARA WRIGHT SLP : DUBUQUE, IA

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General NPI Number Information
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    NPI Number           |    1366260705
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    Entity Type          |    Individual 
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    Provider Name        |    KARA WRIGHT SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/02/2024
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    Last Update Date     |    10/02/2024
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Provider Practice Location Address
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    Address Line         |    4005 WESTMARK DR STE 320 
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    City                 |    DUBUQUE
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    State                |    IA
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    Zip                  |    52002-2271
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    Country              |    US
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    Telephone            |    563-583-6977
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    Fax                  |    563-582-5459
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Provider Business Mailing Address
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    Address Line         |    350 N GRANDVIEW AVE 
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    City                 |    DUBUQUE
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    State                |    IA
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    Zip                  |    52001-6388
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    Country              |    US
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    Telephone            |    563-583-6977
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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       |    123769
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    License Number State |    IA
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