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General NPI Number Information
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NPI Number | 1922820919
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Entity Type | Individual
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Provider Name | KAITLYN DAVENPORT
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Gender | Female
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 6705 WHITE HORSE RD
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City | GREENVILLE
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State | SC
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Zip | 29611-2503
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Country | US
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Telephone | 704-654-8599
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Fax | 980-938-6088
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Provider Business Mailing Address
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Address Line | 6705 WHITE HORSE RD
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City | GREENVILLE
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State | SC
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Zip | 29611-2503
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Country | US
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Telephone | 704-654-8599
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Fax | 980-938-6088
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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 | 9514
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License Number State | SC
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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 | SZ12394
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License Number State | FL
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