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General NPI Number Information
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NPI Number | 1861668741
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Entity Type | Individual
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Provider Name | KELLI A MAHAFFEY M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 225W 5TH ST
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City | CROWLEY
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State | LA
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Zip | 70526-4332
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Country | US
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Telephone | 337-788-2300
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Fax | 888-214-8710
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Provider Business Mailing Address
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Address Line | PO BOX 2206
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City | CROWLEY
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State | LA
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Zip | 70527-2206
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Country | US
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Telephone | 337-788-2300
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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 | 104028
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 6222
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License Number State | LA
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