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General NPI Number Information
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NPI Number | 1174702930
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Entity Type | Individual
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Provider Name | MICHELLE LYNNE DERRYBERRY MS, CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 5046 COURTNEY WAY
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-5478
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Country | US
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Telephone | 916-397-6974
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Fax | 916-358-5582
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Provider Business Mailing Address
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Address Line | 5046 COURTNEY WAY
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-5478
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Country | US
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Telephone | 916-397-6974
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Fax | 916-358-5582
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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 | 13354
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License Number State | CA
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