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NPI 1205965464

NPI 1205965464 : CHRISTINE MICHAELS-SLIMAN : YOUNGSTOWN, OH

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General NPI Number Information
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    NPI Number           |    1205965464
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE MICHAELS-SLIMAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/05/2007
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    Last Update Date     |    05/27/2014
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Provider Practice Location Address
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    Address Line         |    221 MILL CREEK DR 
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    City                 |    YOUNGSTOWN
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    State                |    OH
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    Zip                  |    44512-1406
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    Country              |    US
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    Telephone            |    330-788-4068
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    221 MILL CREEK DR 
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    City                 |    YOUNGSTOWN
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    State                |    OH
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    Zip                  |    44512-1406
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    Country              |    US
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    Telephone            |    330-788-4068
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    3836
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    License Number State |    OH
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