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General NPI Number Information
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NPI Number | 1194867358
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Entity Type | Individual
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Provider Name | LAURA J MCQUADE SLPD, CCC-SLP, PLLC
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 1816 ALLEN DR
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City | GENEVA
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State | IL
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Zip | 60134-3108
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Country | US
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Telephone | 331-330-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 1516 LEGACY CIR STE 100
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City | NAPERVILLE
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State | IL
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Zip | 60563-1253
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Country | US
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Telephone | 331-330-5353
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 1-12-10124
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 1460007254
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146007254
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License Number State | IL
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