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General NPI Number Information
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NPI Number | 1053582700
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Entity Type | Individual
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Provider Name | REBECCA REXRODE AKEN
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Gender | Female
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 128 FAYETTE STREET
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City | MARTINSVILLE
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State | VA
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Zip | 24112
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Country | US
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Telephone | 276-352-4465
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Fax | 276-293-1212
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Provider Business Mailing Address
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Address Line | 260 BONBROOK ROAD
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City | WIRTZ
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State | VA
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Zip | 24184
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Country | US
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Telephone | 434-319-0454
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Fax | 276-293-1212
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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 | 12049254
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License Number State | WV
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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 | 2202006873
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License Number State | VA
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