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General NPI Number Information
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NPI Number | 1811242530
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Entity Type | Individual
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Provider Name | KATHLEEN O'BRIEN-VARTAPURIAN MSED
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Gender | Female
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 6297 W CRAFT LN
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City | HOMOSASSA
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State | FL
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Zip | 34448-2226
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Country | US
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Telephone | 914-575-7524
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Fax |
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Provider Business Mailing Address
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Address Line | 6297 W CRAFT LN
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City | HOMOSASSA
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State | FL
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Zip | 34448-2226
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Country | US
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Telephone | 914-575-7524
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 666285
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License Number State | NY
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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 | 7788065UPD
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License Number State | NY
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