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General NPI Number Information
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NPI Number | 1073858510
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Entity Type | Individual
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Provider Name | WENDY MARIE DELOS REYES M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2012
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 700 PRINCESS ST SUITE 202
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2268
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Country | US
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Telephone | 703-535-7841
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Fax |
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Provider Business Mailing Address
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Address Line | 700 PRINCESS ST SUITE 202
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2268
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Country | US
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Telephone | 703-535-7841
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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 | SP 1257
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License Number State | HI
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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 | 2202007049
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP000644
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License Number State | DC
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