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General NPI Number Information
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NPI Number | 1104331560
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Entity Type | Individual
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Provider Name | BARBARA JANE BOSSLET MA CCC-SLP/L
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Gender | Female
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Dates
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Enumeration Date | 12/07/2017
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Last Update Date | 12/07/2017
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Provider Practice Location Address
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Address Line | 145 W ARTHUR ST
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City | ELMHURST
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State | IL
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Zip | 60126-3320
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Country | US
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Telephone | 630-834-4541
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Fax | 630-834-4541
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Provider Business Mailing Address
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Address Line | 1846 BALTIMORE DR
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-2736
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Country | US
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Telephone | 847-895-7778
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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 | 146.005362
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License Number State | IL
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