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General NPI Number Information
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NPI Number | 1215120969
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Entity Type | Individual
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Provider Name | JESSICA HEUER SLP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 810 W. ANTHONY DR
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City | URBANA
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State | IL
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Zip | 61801-7431
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Country | US
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Telephone | 217-326-2911
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Fax | 217-344-8047
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Provider Business Mailing Address
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Address Line | 611 W. PARK
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City | URBANA
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State | IL
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Zip | 61801
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Country | US
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Telephone | 217-326-2911
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Fax | 317-344-8047
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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 | 146008641
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License Number State | IL
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