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General NPI Number Information
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NPI Number | 1053584698
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Entity Type | Individual
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Provider Name | DEBORAH KATZ PERRY M.S., CCC-SLP, ATP
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Gender | Female
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Dates
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Enumeration Date | 04/03/2008
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 5654 FENWICK DR
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City | ALEXANDRIA
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State | VA
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Zip | 22303-1524
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Country | US
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Telephone | 703-828-7570
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Fax |
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Provider Business Mailing Address
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Address Line | 323 5TH ST SE APT A
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City | WASHINGTON
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State | DC
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Zip | 20003-2049
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Country | US
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Telephone | 202-590-5779
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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 | SP16267
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License Number State | CA
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