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General NPI Number Information
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NPI Number | 1841652419
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Entity Type | Individual
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Provider Name | KELSEY EBINGER SLP-CCC
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Gender | Female
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 368 QUARRY LOOP RD
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City | MOUNT JULIET
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State | TN
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Zip | 37122-7206
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Country | US
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Telephone | 161-544-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 223 SKIRVING TER
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City | GALLATIN
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State | TN
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Zip | 37066-7620
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Country | US
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Telephone | 615-516-3166
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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 |
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License Number State |
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