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General NPI Number Information
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NPI Number | 1558423319
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Entity Type | Individual
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Provider Name | CATHLEEN THOMAS DHSC,MACCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 111 N ORANGE AVE STE 800
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City | ORLANDO
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State | FL
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Zip | 32801-2381
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Country | US
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Telephone | 512-399-0064
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Fax |
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Provider Business Mailing Address
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Address Line | 633 W 5TH ST OFC 2876B
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City | LOS ANGELES
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State | CA
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Zip | 90071-2005
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Country | US
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Telephone | 512-399-0064
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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 | 30001708
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License Number State | NC
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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 | 34551
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7101007373
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22005898A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA17492
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License Number State | FL
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