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General NPI Number Information
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NPI Number | 1740935568
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Entity Type | Individual
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Provider Name | M'KENZIE CRAVENS SLP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 3597 KESWICK DR
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City | CHAMBLEE
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State | GA
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Zip | 30341-2003
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Country | US
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Telephone | 678-585-4715
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 WAKE DR
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City | RICHARDSON
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State | TX
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Zip | 75081-3723
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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 |
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License Number State |
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