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General NPI Number Information
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NPI Number | 1780597625
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Entity Type | Individual
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Provider Name | KELLEE LYNN HOLTON
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Gender | Female
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 1529 SUNRISE PLAZA DR STE 6
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City | CLERMONT
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State | FL
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Zip | 34714-6202
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Country | US
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Telephone | 352-243-9341
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Fax |
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Provider Business Mailing Address
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Address Line | 1480 HAMMOCK RIDGE RD APT 1205
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City | CLERMONT
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State | FL
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Zip | 34711-6378
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Country | US
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Telephone | 772-584-4135
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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 | 13716
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License Number State | FL
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