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General NPI Number Information
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NPI Number | 1528422003
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Entity Type | Individual
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Provider Name | KRISTY HOFSTETTER M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2016
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 10150 W NATIONAL AVE STE 150
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City | MILWAUKEE
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State | WI
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Zip | 53227-2145
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Country | US
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Telephone | 414-395-4485
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Fax |
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Provider Business Mailing Address
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Address Line | 2534 N 124TH ST APT 257
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City | WAUWATOSA
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State | WI
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Zip | 53226-1059
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Country | US
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Telephone | 262-510-4242
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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 | 4079
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License Number State | WI
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