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General NPI Number Information
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NPI Number | 1700799475
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Entity Type | Organization
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Legal Business Name | KAILEY OGRADY SPEECH PATHOLOGIST PC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 454 BEACH 124TH ST
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-1844
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Country | US
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Telephone | 917-690-6369
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Fax |
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Provider Business Mailing Address
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Address Line | 454 BEACH 124TH ST
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-1844
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Country | US
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Telephone | 917-690-6369
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Fax |
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Authorized Official
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Title or Position | SLP
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Name | KAILEY O'GRADY
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Credential | M.A., CCC-SLP, TSSLD
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Telephone | 917-690-6369
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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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