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General NPI Number Information
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NPI Number | 1144598905
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Entity Type | Organization
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Legal Business Name | WESTLAKE HEARING AND SPEECH CLINIC INC.
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 29101 HEALTH CAMPUS DR STE 290
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City | WESTLAKE
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State | OH
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Zip | 44145-5274
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Country | US
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Telephone | 440-835-6160
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Fax | 440-899-4373
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Provider Business Mailing Address
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Address Line | 29101 HEALTH CAMPUS DR STE 290
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City | WESTLAKE
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State | OH
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Zip | 44145-5274
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Country | US
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Telephone | 440-835-6160
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Fax | 440-899-4373
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SUSAN L. KALL
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Credential | M.A., SLP
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Telephone | 440-835-6160
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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 | 6335
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License Number State | OH
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