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General NPI Number Information
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NPI Number | 1851817795
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Entity Type | Individual
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Provider Name | KYLE DAVID DELAHANTY CCC-SLP
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Gender | Male
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 770 SAYBROOK RD UNIT B4
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City | MIDDLETOWN
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State | CT
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Zip | 06457-4739
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Country | US
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Telephone | 860-421-4052
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Fax |
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Provider Business Mailing Address
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Address Line | 68 HILLCREST AVE
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City | MIDDLETOWN
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State | CT
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Zip | 06457-5322
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Country | US
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Telephone | 773-844-3247
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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 | 6936
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License Number State | CT
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