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General NPI Number Information
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NPI Number | 1780864272
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Entity Type | Individual
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Provider Name | KATHLEEN MARIE NEWELL SLP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 03/09/2009
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Provider Practice Location Address
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Address Line | 9343 KIRBY DR
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City | HOUSTON
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State | TX
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Zip | 77054-2516
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Country | US
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Telephone | 713-383-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 1928 HAROLD ST # 2
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City | HOUSTON
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State | TX
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Zip | 77098-1502
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Country | US
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Telephone | 713-520-1245
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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 | 100507
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License Number State | TX
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