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General NPI Number Information
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NPI Number | 1457690935
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Entity Type | Individual
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Provider Name | CAROL A CALLAGHAN MA, SLP-CCC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2013
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 2586 19TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-3009
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Country | US
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Telephone | 415-665-9094
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Fax | 415-664-5190
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Provider Business Mailing Address
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Address Line | 2586 19TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-3009
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Country | US
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Telephone | 415-665-9094
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Fax | 415-664-5190
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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 | SP 6337
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License Number State | CA
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