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General NPI Number Information
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NPI Number | 1871805226
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Entity Type | Individual
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Provider Name | KATHRYN PATRICIA PAULUS M.A.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 1957 W DICKENS AVE
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City | CHICAGO
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State | IL
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Zip | 60614-3934
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Country | US
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Telephone | 815-546-2471
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 W JULIAN ST APT 6
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City | CHICAGO
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State | IL
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Zip | 60622-2110
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Country | US
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Telephone | 815-546-2471
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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 |
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License Number State |
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