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General NPI Number Information
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NPI Number | 1033939293
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Entity Type | Individual
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Provider Name | ALECIA VAN STRIEN
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Gender | Female
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 301 HILLCREST DR
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City | LAURENS
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State | SC
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Zip | 29360-2343
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Country | US
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Telephone | 864-984-3568
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Fax |
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Provider Business Mailing Address
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Address Line | 106 BRANDY MILL CHASE
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City | DUNCAN
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State | SC
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Zip | 29334-8703
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Country | US
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Telephone | 864-415-5924
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP.5727
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License Number State | SC
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