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NPI 1851038772

NPI 1851038772 : KATHERINE SMITH CURRIE SLP-ASSISTANT : ALBA, TX

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General NPI Number Information
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    NPI Number           |    1851038772
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    Entity Type          |    Individual 
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    Provider Name        |    KATHERINE SMITH CURRIE SLP-ASSISTANT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/13/2022
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    Last Update Date     |    05/13/2022
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Provider Practice Location Address
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    Address Line         |    581 COUNTY ROAD 2378 
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    City                 |    ALBA
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    State                |    TX
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    Zip                  |    75410-4841
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    Country              |    US
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    Telephone            |    903-768-3141
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    109 EARLENE DR 
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    City                 |    QUITMAN
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    State                |    TX
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    Zip                  |    75783-1611
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    Country              |    US
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    Telephone            |    
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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        |    2355S0801X
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    Taxonomy Name        |    Speech-Language Assistant
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    License Number       |    32532
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    License Number State |    TX
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