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General NPI Number Information
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NPI Number | 1497878169
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Entity Type | Organization
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Legal Business Name | KRISTIN MORAN SPEECH ASSOCIATES, LLC
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1806 W ARGYLE ST UNIT H
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City | CHICAGO
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State | IL
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Zip | 60640-3398
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Country | US
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Telephone | 773-750-9947
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Fax | 773-561-7821
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Provider Business Mailing Address
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Address Line | 1806 W ARGYLE ST UNIT H
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City | CHICAGO
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State | IL
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Zip | 60640-3398
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Country | US
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Telephone | 773-750-9947
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Fax | 773-561-7821
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MS. KRISTIN ANN MORAN
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Credential | MS, CCC-SLP
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Telephone | 773-750-9947
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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 |
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License Number State | IL
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