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NPI Code Detail

MEDICARE: MRS. KATE BRIDGET DAGON

MEDICARE: MRS. KATE BRIDGET DAGON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSA10062FL

General Provider Information

NPI Number : 1215411095
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATE BRIDGET DAGON
Provider Business Mailing Address
First Line : 2706 BILLINGHAM DR
Second Line :
City : LAND O LAKES
State : FL
Zip : 34639-6725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 37135 COLEMAN AVE
Second Line :
City : DADE CITY
State : FL
Zip : 33525-4526
Country : US
Telephone Number : 352-567-8615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2018
Last Update Date : 09/18/2018

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Directions to “ MRS. KATE BRIDGET DAGON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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