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General NPI Number Information
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NPI Number | 1790225449
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Entity Type | Individual
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Provider Name | CAROL ANNE CASE CCC-SLP, CBIS
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Gender | Female
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 2305 OLD CALLAHAN DR
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City | KNOXVILLE
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State | TN
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Zip | 37912-1244
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Country | US
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Telephone | 727-709-1663
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Fax |
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Provider Business Mailing Address
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Address Line | 2305 OLD CALLAHAN DR
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City | KNOXVILLE
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State | TN
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Zip | 37912-1244
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Country | US
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Telephone | 727-709-1663
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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 | 6067
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 0001645
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA6062
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License Number State | FL
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