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General NPI Number Information
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NPI Number | 1083939755
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Entity Type | Individual
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Provider Name | MISS SUSAN BETH CAHILL
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Gender | Female
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 3167 RANCHO VISTA BLVD SUITE D
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City | PALMDALE
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State | CA
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Zip | 93551
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Country | US
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Telephone | 661-266-9578
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Fax | 661-266-2208
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Provider Business Mailing Address
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Address Line | 39919 DYOTT WAY
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City | PALMDALE
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State | CA
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Zip | 93551-2924
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Country | US
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Telephone | 661-526-5903
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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 10094
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License Number State | CA
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