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General NPI Number Information
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NPI Number | 1184936155
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Entity Type | Individual
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Provider Name | NANCY LYNN ZIPPERER M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2010
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Last Update Date | 07/07/2010
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Provider Practice Location Address
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Address Line | 3821 KOHLER MEMORIAL DRIVE
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City | SHEBOYGAN
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State | WI
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Zip | 53081
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Country | US
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Telephone | 920-208-9648
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Fax | 920-208-6316
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Provider Business Mailing Address
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Address Line | 262 ANN DRIVE
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City | PLYMOUTH
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State | WI
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Zip | 53073
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Country | US
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Telephone | 920-207-7688
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Fax | 920-208-6316
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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 | 1662-154
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License Number State | WI
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