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General NPI Number Information
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NPI Number | 1104800028
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Entity Type | Individual
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Provider Name | ELIZABETH MARY TREMBLAY SP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | MEDICAL CENTER EAST SOUTH TOWER 1215 21ST AVE
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City | NASHVILLE
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State | TN
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Zip | 37232-6714
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Country | US
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Telephone | 615-343-7464
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Fax | 615-343-0872
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Provider Business Mailing Address
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Address Line | MEDICAL CENTER EAST, SOUTH TOWER 1215 21ST AVE
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City | NASHVILLE
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State | TN
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Zip | 37135-8783
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Country | US
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Telephone | 615-343-7464
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Fax | 615-343-0872
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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 | 6584
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License Number State | MA
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