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General NPI Number Information
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NPI Number | 1629000435
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Entity Type | Individual
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Provider Name | RONALD C. KUEBLER CCC-SLP, ABDA
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 6601 EASTBROOK RD
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City | COLUMBIA
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State | SC
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Zip | 29206-2207
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Country | US
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Telephone | 803-429-6730
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Fax | 803-787-6889
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Provider Business Mailing Address
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Address Line | 6601 EASTBROOK RD
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City | COLUMBIA
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State | SC
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Zip | 29206-2207
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Country | US
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Telephone | 803-429-6730
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Fax | 803-787-6889
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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 | 816
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License Number State | SC
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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 | 1669
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 6816
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License Number State | NC
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