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General NPI Number Information
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NPI Number | 1699443200
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Entity Type | Individual
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Provider Name | KRISTEN LYNN KHOURI CF-SLP, TSSLD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 575 8TH AVE FL 6
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City | NEW YORK
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State | NY
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Zip | 10018-3158
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Country | US
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Telephone | 917-286-5260
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Fax |
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Provider Business Mailing Address
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Address Line | 166 E 34TH ST APT 9K
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City | NEW YORK
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State | NY
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Zip | 10016-4720
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Country | US
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Telephone | 914-400-8886
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 3018212
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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 | 032216-01
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License Number State | NY
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