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General NPI Number Information
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NPI Number | 1205226131
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Entity Type | Individual
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Provider Name | JENNIFER SCAGGS M.A. CCC- SLP, LMT
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Gender | Female
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Dates
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Enumeration Date | 01/30/2015
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 2700 E MAIN ST STE 109
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City | BEXLEY
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State | OH
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Zip | 43209-2581
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Country | US
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Telephone | 740-490-2414
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Fax | 740-860-4686
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Provider Business Mailing Address
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Address Line | PO BOX 291
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City | ETNA
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State | OH
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Zip | 43018-0291
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Country | US
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Telephone | 740-490-2414
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Fax | 740-860-4686
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 33.026692
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License Number State | OH
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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 | SP-10564
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License Number State | OH
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