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General NPI Number Information
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NPI Number | 1871891085
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Entity Type | Individual
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Provider Name | KERRI NELSON M.S. C.F. S.L.P.
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Gender | Female
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Dates
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Enumeration Date | 03/11/2011
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Last Update Date | 03/11/2011
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Provider Practice Location Address
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Address Line | 1161 S VALLEY VIEW BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89102-1854
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Country | US
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Telephone | 702-486-7670
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 W SPRING MTN RD #2153
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City | LAS VEGAS
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State | NV
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Zip | 89117-3908
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Country | US
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Telephone |
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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 | 1324
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License Number State | NV
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