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General NPI Number Information
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NPI Number | 1124964069
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Entity Type | Individual
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Provider Name | ALEXA RYAN SLP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 100 TOMAHAWK DR
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City | KUTZTOWN
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State | PA
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Zip | 19530-8256
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Country | US
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Telephone | 484-426-2021
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Fax |
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Provider Business Mailing Address
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Address Line | 3636 LENAPE LN
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City | EMMAUS
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State | PA
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Zip | 18049-1814
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Country | US
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Telephone | 484-425-7113
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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 |
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License Number State | PA
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