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General NPI Number Information
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NPI Number | 1043698541
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Entity Type | Individual
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Provider Name | JANINE MARIE SEGNER M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2015
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 5272 RIVER RD SUITE 300
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City | BETHESDA
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State | MD
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Zip | 20816-1405
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Country | US
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Telephone | 844-906-7846
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Fax |
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Provider Business Mailing Address
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Address Line | 11410 GREAT MEADOW DR
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City | RESTON
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State | VA
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Zip | 20191-3608
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Country | US
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Telephone | 609-972-9110
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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 | 07822
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License Number State | MD
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