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General NPI Number Information
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NPI Number | 1437062635
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Entity Type | Individual
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Provider Name | KENNEDY LAUREN HUMES
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 307 S LAWS ST
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City | BRIDGEVILLE
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State | DE
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Zip | 19933-1299
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Country | US
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Telephone | 302-337-8289
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Fax |
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Provider Business Mailing Address
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Address Line | 205 W SIDE DR
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-1308
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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 | O4-0010978
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License Number State | DE
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