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General NPI Number Information
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NPI Number | 1437424850
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Entity Type | Organization
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Legal Business Name | KATHLEEN M KRONENWETTER
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 809 DUNCARDINE WAY
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City | SUNNYVALE
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State | CA
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Zip | 94087-3517
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Country | US
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Telephone | 408-394-0638
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Fax | 408-749-9828
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Provider Business Mailing Address
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Address Line | 809 DUNCARDINE WAY
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City | SUNNYVALE
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State | CA
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Zip | 94087-3517
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Country | US
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Telephone | 408-394-0638
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Fax | 408-749-9828
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST/OWNER
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Name | MS. KATHLEEN MARIE KRONENWETTER
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Credential | MA, CCC-SLP
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Telephone | 14083940638
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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 | 5088
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 9077
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License Number State | CA
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