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General NPI Number Information
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NPI Number | 1689941973
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Entity Type | Individual
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Provider Name | KARISA MCALLISTER MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 3903 FAIR RIDGE DR STE 222
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City | FAIRFAX
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State | VA
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Zip | 22033-2945
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Country | US
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Telephone | 800-886-8912
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 VALE STATION RD
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City | OAKTON
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State | VA
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Zip | 22124-2259
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Country | US
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Telephone | 703-851-2282
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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 | 2204001516
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License Number State | VA
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