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NPI Code Detail

MEDICARE: DIANA MAGDALENA JANUS

MEDICARE: DIANA MAGDALENA JANUS
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 Pathologist7734SC

General Provider Information

NPI Number : 1255279501
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA MAGDALENA JANUS
Provider Business Mailing Address
First Line : 132 GRAYSIDE RD
Second Line :
City : IRMO
State : SC
Zip : 29063-8519
Country : US
Telephone Number : 203-298-8003
Fax Number :
Provider Business Practice Location Address
First Line : 1823 GADSDEN ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2344
Country : US
Telephone Number : 203-298-8003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ DIANA MAGDALENA JANUS ” 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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