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General NPI Number Information
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NPI Number | 1760242580
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Entity Type | Individual
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Provider Name | KAITLIN RACHELLE RAMSEY TRUITT M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 721 VILLAGE PARK LN
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City | PROSPER
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State | TX
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Zip | 75078-2394
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Country | US
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Telephone | 469-219-2290
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Fax |
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Provider Business Mailing Address
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Address Line | 2570 LAKE RIDGE RD APT 9209
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City | LEWISVILLE
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State | TX
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Zip | 75056-4989
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Country | US
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Telephone | 913-207-9188
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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 | 118615
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License Number State | TX
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