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General NPI Number Information
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NPI Number | 1619013018
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Entity Type | Individual
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Provider Name | MRS. KELLY BECK GALAJDA
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4443 ROWAN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-6198
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Country | US
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Telephone | 727-834-5407
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Fax |
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Provider Business Mailing Address
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Address Line | 8600 FOREST GLADE DR
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City | HUDSON
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State | FL
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Zip | 34667-2134
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Country | US
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Telephone | 727-869-7767
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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 | SA 6603
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License Number State | FL
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