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General NPI Number Information
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NPI Number | 1639310493
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Entity Type | Individual
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Provider Name | KATHERINE JEAN TETER M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/09/2009
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Last Update Date | 03/09/2009
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Provider Practice Location Address
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Address Line | 3459 WASHINGTON WATERLOO RD NE
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-9016
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Country | US
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Telephone | 740-606-5088
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Fax | 740-422-0350
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Provider Business Mailing Address
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Address Line | 3459 WASHINGTON WATERLOO RD NE
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-9016
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Country | US
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Telephone | 740-606-5088
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Fax | 740-422-0350
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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 | 6889
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License Number State | OH
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