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General NPI Number Information
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NPI Number | 1881108710
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Entity Type | Individual
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Provider Name | KATHRYN PINKSTON
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Gender | Female
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Dates
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Enumeration Date | 11/30/2017
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Last Update Date | 01/15/2023
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Provider Practice Location Address
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Address Line | 1000 W BUCHANAN ST
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City | CLARKSVILLE
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State | AR
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Zip | 72830-2252
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Country | US
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Telephone | 858-449-9139
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 W BUCHANAN ST
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City | CLARKSVILLE
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State | AR
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Zip | 72830-2252
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Country | US
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Telephone | 858-449-9139
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 5004
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 200279
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License Number State | AR
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 202084
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License Number State | AR
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