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General NPI Number Information
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NPI Number | 1801516927
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Entity Type | Individual
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Provider Name | AMY KATHLYN KARLBERG MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 512 SAYBROOK RD LOWR LEVEL
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4788
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Country | US
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Telephone | 860-358-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 305 S MAIN ST APT A07
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4210
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Country | US
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Telephone | 860-333-4342
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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 | 006718
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License Number State | CT
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