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General NPI Number Information
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NPI Number | 1659957728
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Entity Type | Individual
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Provider Name | KAYLA KRISTINE CEMPA M.S. CCC-SLP, TSSLD.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 3155 PHONETIA DR
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City | DELTONA
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State | FL
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Zip | 32738-9422
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Country | US
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Telephone | 386-575-4103
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Fax |
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Provider Business Mailing Address
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Address Line | 3323 TIMUCUA CIR
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City | ORLANDO
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State | FL
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Zip | 32837-7119
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Country | US
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Telephone | 631-741-8254
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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 | 033152-01
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License Number State | NY
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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 | SA21850
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License Number State | FL
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