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General NPI Number Information
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NPI Number | 1366369654
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Entity Type | Individual
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Provider Name | KRISTIN DANIELLE GILLIKIN
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Gender | Female
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 810 CURE DR
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City | MADISON
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State | NC
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Zip | 27025-1612
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Country | US
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Telephone | 336-548-2472
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 HORSE PEN CREEK RD UNIT 1D
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City | GREENSBORO
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State | NC
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Zip | 27410-9804
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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 | 11950
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License Number State | NC
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