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General NPI Number Information
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NPI Number | 1871481259
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Entity Type | Individual
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Provider Name | CHANDLER KATHLEEN HIMBURY
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Gender | Female
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 201 S HOLDEN ST
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City | WARRENSBURG
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State | MO
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Zip | 64093-2306
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Country | US
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Telephone | 660-747-7823
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Fax |
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Provider Business Mailing Address
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Address Line | 18530 LAZY LN
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City | LEXINGTON
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State | MO
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Zip | 64067-8225
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Country | US
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Telephone | 660-251-3493
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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 | 2025022980
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License Number State | MO
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