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General NPI Number Information
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NPI Number | 1235684010
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Entity Type | Individual
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Provider Name | REBECCA NEVEU CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 1011 N 8TH ST
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City | SHEBOYGAN
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State | WI
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Zip | 53081-4006
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Country | US
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Telephone | 608-963-8581
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 N 12TH ST
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City | SHEBOYGAN
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State | WI
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Zip | 53081-3340
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Country | US
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Telephone | 906-440-8543
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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 | 4353-154
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License Number State | WI
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