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General NPI Number Information
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NPI Number | 1619606407
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Entity Type | Individual
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Provider Name | KAYLA MARIE SANDLIN M.ED., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 4500 E CHERRY CREEK SOUTH DR STE 725
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City | DENVER
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State | CO
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Zip | 80246-1518
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Country | US
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Telephone | 281-364-9695
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Fax |
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Provider Business Mailing Address
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Address Line | 1625 41ST STREET RD
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City | EVANS
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State | CO
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Zip | 80620-2429
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Country | US
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Telephone | 970-342-6603
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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 | 14315348
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License Number State |
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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 | SLP.0004691
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License Number State | CO
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