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General NPI Number Information
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NPI Number | 1841413101
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Entity Type | Individual
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Provider Name | KATHERINE C. STRAIT CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1998 HIGHWAY 62 412 SUITE 106
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City | HIGHLAND
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State | AR
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Zip | 72542-9767
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Country | US
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Telephone | 662-719-2625
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 694
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City | CHEROKEE VILLAGE
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State | AR
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Zip | 72525-0694
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Country | US
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Telephone | 662-719-2625
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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 | SP# 2421
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License Number State | AR
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