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General NPI Number Information
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NPI Number | 1629266200
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Entity Type | Individual
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Provider Name | KATHLEEN WESTBROOK LAUTEN CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 85 MECHANIC ST PATHWAYS - SUITE 300
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City | LEBANON
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State | NH
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Zip | 03766-1537
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Country | US
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Telephone | 603-443-4112
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Fax | 603-448-1841
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Provider Business Mailing Address
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Address Line | 1 WEBSTER HILL RD
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City | S ROYALTON
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State | VT
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Zip | 05068-9712
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Country | US
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Telephone | 802-763-2211
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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 | 0788
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License Number State | NH
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