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General NPI Number Information
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NPI Number | 1821957333
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Entity Type | Individual
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Provider Name | KAREN LYNN FULLERTON SLP
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Gender | Female
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 3301 TAYLOR RD
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City | LOOMIS
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State | CA
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Zip | 95650-9599
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Country | US
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Telephone | 916-652-7243
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Fax |
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Provider Business Mailing Address
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Address Line | 13000 NEW AIRPORT RD
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City | AUBURN
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State | CA
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Zip | 95603-9596
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Country | US
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Telephone | 530-886-4400
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Fax | 530-886-4439
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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 | 13551
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License Number State | CA
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