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General NPI Number Information
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NPI Number | 1215133699
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Entity Type | Individual
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Provider Name | SARA BECK CINCOTTA MS-CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6901 COUNTY ROAD O
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City | HARTFORD
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State | WI
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Zip | 53027-8849
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Country | US
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Telephone | 262-673-3720
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Fax |
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Provider Business Mailing Address
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Address Line | W159N10490 OLD FARM RD
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City | GERMANTOWN
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State | WI
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Zip | 53022-4191
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Country | US
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Telephone | 262-251-0147
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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 | 1212-154
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License Number State | WI
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