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General NPI Number Information
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NPI Number | 1851765077
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Entity Type | Individual
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Provider Name | KATHRYN CARVER CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/27/2015
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Last Update Date | 03/03/2017
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Provider Practice Location Address
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Address Line | 101 COLLEGE PKWY
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City | COLCHESTER
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State | VT
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Zip | 05446-3013
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Country | US
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Telephone | 802-847-1988
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 SIBLEY RD
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City | EAST MONTPELIER
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State | VT
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Zip | 05651-4108
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Country | US
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Telephone | 541-408-0084
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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 | 144.0114844
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License Number State | VT
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