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General NPI Number Information
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NPI Number | 1043027204
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Entity Type | Individual
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Provider Name | AVERY HOWARD
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Gender | Female
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2575 N DRAKE RD
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City | KALAMAZOO
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State | MI
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Zip | 49006-1358
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Country | US
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Telephone | 269-342-0206
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Fax |
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Provider Business Mailing Address
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Address Line | 2622 GREEN RUSH LN
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City | ZEELAND
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State | MI
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Zip | 49464-8266
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Country | US
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Telephone | 231-672-0206
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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 |
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License Number State |
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