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General NPI Number Information
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NPI Number | 1851702278
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Entity Type | Individual
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Provider Name | KRISTEN ELIZABETH SEDIG
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Gender | Female
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 1525 S ALAFAYA TRL
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City | ORLANDO
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State | FL
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Zip | 32828-8926
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Country | US
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Telephone | 407-384-2767
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Fax | 321-281-4942
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Provider Business Mailing Address
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Address Line | 932 STETSON ST
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City | ORLANDO
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State | FL
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Zip | 32804-5769
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ 6642
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License Number State | FL
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