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General NPI Number Information
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NPI Number | 1497404370
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Entity Type | Individual
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Provider Name | KATRINA WILLIAMS PARNELL
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Gender | Female
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Dates
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Enumeration Date | 03/20/2022
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Last Update Date | 03/20/2022
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Provider Practice Location Address
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Address Line | 600 W CHELTENHAM AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19126-3045
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Country | US
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Telephone | 215-927-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 9 FALCON LN
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City | DELRAN
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State | NJ
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Zip | 08075-1633
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Country | US
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Telephone | 609-923-6085
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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 | 41YS01078900
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License Number State | NJ
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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 | SL015705
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License Number State | PA
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