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NPI 1174071831

NPI 1174071831 : TERESA BLANCHETTE SCHUMACHER CCC-SLP : GREENCASTLE, PA

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General NPI Number Information
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    NPI Number           |    1174071831
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    Entity Type          |    Individual 
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    Provider Name        |    TERESA BLANCHETTE SCHUMACHER CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/12/2016
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    Last Update Date     |    12/12/2021
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Provider Practice Location Address
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    Address Line         |    2403 CASTLEGREEN DR 
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    City                 |    GREENCASTLE
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    State                |    PA
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    Zip                  |    17225-9002
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    Country              |    US
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    Telephone            |    717-895-3165
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2403 CASTLEGREEN DR 
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    City                 |    GREENCASTLE
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    State                |    PA
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    Zip                  |    17225-9002
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    Country              |    US
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    Telephone            |    717-895-3165
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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       |    SL013132
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    License Number State |    PA
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