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General NPI Number Information
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NPI Number | 1477069615
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Entity Type | Individual
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Provider Name | KRISTI MICHELLE BEZY M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 2301 COLUMBIA PIKE APT 125
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City | ARLINGTON
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State | VA
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Zip | 22204-4453
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Country | US
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Telephone | 571-527-0818
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Fax |
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Provider Business Mailing Address
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Address Line | 3611 S WAKEFIELD ST
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City | ARLINGTON
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State | VA
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Zip | 22206-1709
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Country | US
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Telephone | 704-793-7976
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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 | 9784
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License Number State | NC
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