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General NPI Number Information
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NPI Number | 1710248992
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Entity Type | Individual
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Provider Name | KIRBY LYNN FOLKERS SPEECH LANGUAGE PATH
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Gender | Female
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 801 OLDHAM RD.
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City | MANVEL
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State | ND
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Zip | 58256
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Country | US
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Telephone | 701-696-2212
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Fax | 701-696-8217
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Provider Business Mailing Address
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Address Line | 516 COOPER AVENUE SUITE 102
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City | GRAFTON
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State | ND
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Zip | 58237
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Country | US
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Telephone | 701-352-2574
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Fax | 701-352-0188
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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 | 8986
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License Number State | MN
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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 | 1178
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License Number State | ND
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