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General NPI Number Information
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NPI Number | 1437534484
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Entity Type | Individual
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Provider Name | KAREN ANDREA KABAKI CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 138 RIVERWALK WAY
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City | CLIFTON
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State | NJ
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Zip | 07014-1729
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Country | US
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Telephone | 973-930-7362
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Fax |
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Provider Business Mailing Address
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Address Line | 138 RIVERWALK WAY
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City | CLIFTON
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State | NJ
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Zip | 07014-1729
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Country | US
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Telephone | 973-930-7362
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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 | 010982-1
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License Number State | NY
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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 | YS03611
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License Number State | NJ
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