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NPI 1427228550

NPI 1427228550 : KARI ANNE FLYNN M.S./CCC/SLP : PLAINSBORO, NJ

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General NPI Number Information
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    NPI Number           |    1427228550
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    Entity Type          |    Individual 
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    Provider Name        |    KARI ANNE FLYNN M.S./CCC/SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/05/2008
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    Last Update Date     |    08/02/2021
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Provider Practice Location Address
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    Address Line         |    4706 QUAIL RIDGE DR 
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    City                 |    PLAINSBORO
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    State                |    NJ
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    Zip                  |    08536-4237
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    Country              |    US
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    Telephone            |    609-577-5465
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14901 FROST AVE APT 34
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    City                 |    CHINO HILLS
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    State                |    CA
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    Zip                  |    91709-4237
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    Country              |    US
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    Telephone            |    908-839-3314
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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       |    SP15196
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    License Number State |    CA
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