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General NPI Number Information
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NPI Number | 1538316153
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Entity Type | Individual
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Provider Name | KATHRYN E FORBES B.S.
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Gender | Female
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 17212 N SCOTTSDALE RD APT 3339
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-9665
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Country | US
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Telephone | 208-860-5391
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Fax |
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Provider Business Mailing Address
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Address Line | 17212 N SCOTTSDALE RD APT 3339
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-9665
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Country | US
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Telephone | 208-860-5391
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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 | SLPL5952
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License Number State | AZ
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