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General NPI Number Information
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NPI Number | 1679252969
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Entity Type | Organization
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Legal Business Name | KINDRED SPEECH THERAPY LLC
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 265 N ALLOY DR STE 2
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City | FENTON
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State | MI
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Zip | 48430-2646
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Country | US
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Telephone | 810-373-9507
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Fax | 855-221-3640
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Provider Business Mailing Address
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Address Line | 16341 REDWOOD CT
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City | FENTON
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State | MI
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Zip | 48430-9178
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Country | US
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Telephone | 810-348-4350
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Fax |
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Authorized Official
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Title or Position | OWNER/SLP
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Name | ELYSE LAMPHIER
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Credential |
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Telephone | 810-348-4350
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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 |
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License Number State |
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