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General NPI Number Information
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NPI Number | 1609351873
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Entity Type | Individual
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Provider Name | KATE MITCHELL
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Gender | Female
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 319 GARLINGTON RD # 7
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City | GREENVILLE
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State | SC
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Zip | 29615-4620
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Country | US
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Telephone | 864-361-4879
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Fax |
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Provider Business Mailing Address
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Address Line | 27 FARIS CIR
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City | GREENVILLE
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State | SC
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Zip | 29605-1009
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Country | US
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Telephone | 602-690-2833
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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 |
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License Number State |
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