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General NPI Number Information
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NPI Number | 1467473967
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Entity Type | Individual
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Provider Name | KARYN E PENNINGTON M.S., CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 7380 W SAND LAKE RD SUITE 500
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City | ORLANDO
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State | FL
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Zip | 32819-5248
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Country | US
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Telephone | 407-905-9300
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Fax | 407-905-9309
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Provider Business Mailing Address
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Address Line | 1908 VARICK WAY
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City | CASSELBERRY
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State | FL
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Zip | 32707-2409
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Country | US
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Telephone | 407-905-9300
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Fax | 407-905-9309
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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 | SA 8133
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | SA 8133
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License Number State | FL
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