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General NPI Number Information
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NPI Number | 1235683681
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Entity Type | Individual
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Provider Name | MARIBEL LAGUNAS M.S. SLP-CCC
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Gender | Female
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Dates
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Enumeration Date | 08/14/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 600 N HOLTZCLAW AVE SUITE 200
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City | CHATTANOOGA
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State | TN
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Zip | 37404-1242
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Country | US
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Telephone | 423-622-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 OLDE MILL LN
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City | HIXSON
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State | TN
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Zip | 37343-2953
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Country | US
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Telephone | 256-874-6369
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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 | 0000005696
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License Number State | TN
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