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General NPI Number Information
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NPI Number | 1215152913
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Entity Type | Organization
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Legal Business Name | EARLY EXPRESSIONS
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 887 SERENDIPITY DR
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City | AURORA
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State | IL
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Zip | 60504-4799
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Country | US
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Telephone | 630-740-0445
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Fax | 630-851-8813
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Provider Business Mailing Address
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Address Line | PO BOX 6796
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City | AURORA
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State | IL
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Zip | 60598-0796
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Country | US
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Telephone | 630-740-0445
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Fax | 630-851-8813
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Authorized Official
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Title or Position | SPEECH LANGAUGE PATHOLOGIST
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Name | SHARON M. FRENCH
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Credential | M.A., C.C.C.
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Telephone | 630-740-0445
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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 | 146.007759
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License Number State | IL
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