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General NPI Number Information
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NPI Number | 1407272271
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Entity Type | Individual
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Provider Name | KATHRYN D'AMBROSE SLABOCH M.S., CFY-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 10243 W NATIONAL AVE
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City | WEST ALLIS
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State | WI
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Zip | 53227-2028
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Country | US
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Telephone | 414-604-7208
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Fax |
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Provider Business Mailing Address
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Address Line | 839 N MARSHALL ST APT 21
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City | MILWAUKEE
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State | WI
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Zip | 53202-3901
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Country | US
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Telephone | 630-300-4270
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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 | 3931154
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License Number State | WI
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