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General NPI Number Information
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NPI Number | 1801636063
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Entity Type | Individual
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Provider Name | KAITLYN BEAN CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/27/2024
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 1100 W NEWARK RD
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City | LAPEER
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State | MI
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Zip | 48446-9449
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Country | US
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Telephone | 810-358-0373
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Fax | 810-660-8158
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Provider Business Mailing Address
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Address Line | 1184 LEGAULT BLVD
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City | ORTONVILLE
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State | MI
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Zip | 48462-9427
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Country | US
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Telephone | 248-672-2516
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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 | 7101009379
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License Number State | MI
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