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General NPI Number Information
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NPI Number | 1720939341
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Entity Type | Individual
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Provider Name | KATE E YOUNG SLP
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Gender | Female
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 321 N CONVENT ST
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City | BOURBONNAIS
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State | IL
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Zip | 60914-2015
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Country | US
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Telephone | 815-929-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 430 E DENT ST
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City | GILMAN
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State | IL
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Zip | 60938-1712
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Country | US
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Telephone |
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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 | 146016564
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License Number State | IL
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