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General NPI Number Information
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NPI Number | 1790964906
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Entity Type | Individual
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Provider Name | KRISTIE HIGDON RAILEY MS CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 06/04/2019
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Provider Practice Location Address
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Address Line | 50 GENE CASH RD
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City | CAMPBELLSVILLE
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State | KY
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Zip | 42718
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Country | US
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Telephone | 270-465-7768
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Fax |
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Provider Business Mailing Address
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Address Line | 385 WREN RD
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City | BOWLING GREEN
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State | KY
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Zip | 42101-7448
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Country | US
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Telephone | 270-699-5271
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Fax | 270-780-9757
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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 | 07-011
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License Number State | KY
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