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General NPI Number Information
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NPI Number | 1740495357
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Entity Type | Individual
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Provider Name | KAREN S. EDWARDS SLP
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 252 W. 5TH STREET
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City | LA CENTER
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State | KY
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Zip | 42056
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Country | US
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Telephone | 270-665-5681
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Fax | 270-665-5875
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Provider Business Mailing Address
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Address Line | 9 KENWOOD DRIVE PO BOX 143
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City | LA CENTER
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State | KY
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Zip | 42056-0143
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Country | US
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Telephone | 270-665-5681
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Fax | 270-665-5875
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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 | 0688
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License Number State | KY
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