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General NPI Number Information
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NPI Number | 1518752724
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Entity Type | Individual
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Provider Name | KELLY MARIE SONWALT SLP-A
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Gender | Female
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 101 S WASHINGTON ST
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City | MEXICO
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State | MO
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Zip | 65265-2730
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Country | US
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Telephone | 573-473-2394
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Fax |
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Provider Business Mailing Address
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Address Line | 7331 AUDRAIN ROAD 449
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City | RUSH HILL
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State | MO
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Zip | 65280-2104
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Country | US
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Telephone | 573-582-2836
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 2022040180
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License Number State | MO
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