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General NPI Number Information
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NPI Number | 1386982668
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Entity Type | Individual
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Provider Name | KRISTIN STEFANIE HOJNACKI CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 5601 HATCHERY RD
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City | WATERFORD
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State | MI
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Zip | 48329-3451
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Country | US
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Telephone | 248-674-5367
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Fax |
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Provider Business Mailing Address
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Address Line | 615 CRANBOURNE ST
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-3023
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Country | US
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Telephone | 248-467-7465
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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 | 7101000688
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License Number State | MI
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