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General NPI Number Information
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NPI Number | 1770915779
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Entity Type | Individual
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Provider Name | KAYLA TORNIO
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Gender | Female
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 01/20/2024
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Provider Practice Location Address
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Address Line | 2650 65TH AVE
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City | OSCEOLA
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State | WI
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Zip | 54020-4370
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Country | US
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Telephone | 715-294-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 2405 BURL OAK CURV
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City | HUDSON
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State | WI
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Zip | 54016-9136
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Country | US
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Telephone | 715-419-1386
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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 | 9132
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License Number State | MN
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