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General NPI Number Information
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NPI Number | 1861058067
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Entity Type | Individual
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Provider Name | KATE ALISON DURHAM MA, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 3460 E LA PALMA AVE
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City | ANAHEIM
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State | CA
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Zip | 92806-2020
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Country | US
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Telephone | 833-574-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 202 WHITE CAP LN
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City | NEWPORT COAST
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State | CA
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Zip | 92657-1088
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Country | US
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Telephone | 248-953-9069
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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 | SP37128
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License Number State | CA
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