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General NPI Number Information
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NPI Number | 1801443882
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Entity Type | Organization
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Legal Business Name | MEHREEN KAKWAN LLC
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 08/23/2019
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Provider Practice Location Address
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Address Line | 440 PINE BRAE ST
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City | ANN ARBOR
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State | MI
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Zip | 48105-2723
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Country | US
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Telephone | 734-765-5527
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Fax | 855-480-7967
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Provider Business Mailing Address
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Address Line | 440 PINE BRAE ST
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City | ANN ARBOR
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State | MI
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Zip | 48105-2723
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Country | US
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Telephone | 734-765-5527
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Fax | 855-480-7967
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MEHREEN KAKWAN
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Credential | CCC-SLP
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Telephone | 734-765-5527
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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 |
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License Number State |
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