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General NPI Number Information
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NPI Number | 1679401129
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Entity Type | Individual
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Provider Name | CHRISTINA KELDER MS CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 110 S KING ST
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City | BATH
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State | NC
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Zip | 27808-9502
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Country | US
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Telephone | 252-923-3251
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Fax |
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Provider Business Mailing Address
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Address Line | 108 NECK RD
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City | WASHINGTON
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State | NC
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Zip | 27889-7504
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Country | US
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Telephone | 252-943-7048
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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 | 13023
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License Number State | NC
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