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General NPI Number Information
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NPI Number | 1154096352
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Entity Type | Individual
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Provider Name | MAEGAN PIERCE BENNETT M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 200 GEORGE HALL LN
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City | TUSCALOOSA
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State | AL
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Zip | 35406-0025
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Country | US
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Telephone | 659-215-2196
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Fax |
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Provider Business Mailing Address
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Address Line | 2828 VALLEY CREST RD
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City | TUSCALOOSA
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State | AL
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Zip | 35405-2059
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Country | US
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Telephone | 205-534-9116
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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 | 4483
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License Number State | AL
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