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General NPI Number Information
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NPI Number | 1033602800
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Entity Type | Individual
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Provider Name | CAROLYN STILTNER WEBB
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Gender | Female
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 06/07/2018
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Provider Practice Location Address
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Address Line | 6911 HURLEY RD
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City | HURLEY
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State | VA
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Zip | 24620-9506
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Country | US
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Telephone | 276-566-8523
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1018
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City | VANSANT
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State | VA
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Zip | 24656-1018
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Country | US
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Telephone | 276-597-2377
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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 | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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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 |
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License Number State |
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