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General NPI Number Information
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NPI Number | 1205075512
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Entity Type | Organization
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Legal Business Name | REBECCA WELKER, MS, CCC-SP, LLC
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 15020 N 142ND LN
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City | SURPRISE
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State | AZ
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Zip | 85379-8745
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Country | US
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Telephone | 623-556-1744
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Fax |
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Provider Business Mailing Address
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Address Line | 15020 N 142ND LN
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City | SURPRISE
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State | AZ
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Zip | 85379-8745
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Country | US
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Telephone | 623-556-1744
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Fax |
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Authorized Official
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Title or Position | SPEECH THERAPIST
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Name | MS. REBECCA WELKER
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Credential | MS, CCC-SP
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Telephone | 623-556-1744
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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 |
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License Number State |
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