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General NPI Number Information
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NPI Number | 1134048085
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Entity Type | Individual
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Provider Name | SYDNEY MACKENZIE M.A., CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 487 DEVON PARK DR STE 214
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City | WAYNE
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State | PA
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Zip | 19087-1808
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Country | US
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Telephone | 484-367-7131
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Fax |
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Provider Business Mailing Address
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Address Line | 12 LAUREN LN
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City | COATESVILLE
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State | PA
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Zip | 19320-1282
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Country | US
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Telephone | 302-287-7741
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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 | PSL003284
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License Number State | PA
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