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General NPI Number Information
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NPI Number | 1134563232
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Entity Type | Individual
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Provider Name | REBECCA FREEH THORNBURG ADOMSHICK M.S., CCC-SLP, ATP
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Gender | Female
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Dates
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Enumeration Date | 04/19/2013
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 4079 YORKTOWN RD
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City | COOPERSBURG
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State | PA
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Zip | 18036-8802
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Country | US
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Telephone | 484-891-1226
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Fax | 844-609-1599
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Provider Business Mailing Address
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Address Line | 4079 YORKTOWN RD
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City | COOPERSBURG
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State | PA
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Zip | 18036-8802
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Country | US
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Telephone | 484-891-1226
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Fax | 844-609-1599
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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 | 225CA2400X
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Taxonomy Name | Assistive Technology Practitioner Rehabilitation Counselor
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License Number | SL007164
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SL007164
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License Number State | PA
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