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General NPI Number Information
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NPI Number | 1568393031
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Entity Type | Individual
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Provider Name | KARI LYNN WHITE-GAEDTKE MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/26/2026
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Last Update Date | 05/26/2026
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Provider Practice Location Address
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Address Line | 300 S PROUTY ST
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City | WITTENBERG
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State | WI
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Zip | 54499-9275
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Country | US
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Telephone | 715-253-2221
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Fax |
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Provider Business Mailing Address
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Address Line | W11268 LAMPLIGHT LN
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City | ANTIGO
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State | WI
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Zip | 54409-8544
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Country | US
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Telephone | 715-610-2878
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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 | 1590020972
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License Number State | WI
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