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General NPI Number Information
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NPI Number | 1558763243
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Entity Type | Individual
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Provider Name | KAITLYN SCRAPPER MS, CFY-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 09/24/2014
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Provider Practice Location Address
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Address Line | 600 S DOGWOOD ST
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761-3922
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Country | US
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Telephone | 479-524-6184
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Fax |
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Provider Business Mailing Address
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Address Line | 14031 W 750 RD
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City | TAHLEQUAH
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State | OK
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Zip | 74464-1146
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Country | US
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Telephone | 918-316-8385
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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 | SP#P8849
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License Number State | AR
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