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General NPI Number Information
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NPI Number | 1033711478
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE REGAN M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 11878 HUBBARD ST
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City | LIVONIA
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State | MI
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Zip | 48150-1733
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Country | US
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Telephone | 734-953-1745
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Fax | 734-953-1743
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Provider Business Mailing Address
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Address Line | 9870 TELEGRAPH RD STE B
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City | TAYLOR
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State | MI
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Zip | 48180-3399
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Country | US
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Telephone | 313-295-5020
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Fax | 313-290-0960
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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 | 7101001169
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License Number State | MI
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