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General NPI Number Information
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NPI Number | 1245756501
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Entity Type | Individual
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Provider Name | PATRICIA LOU LEPPLA SPEECH PATHOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 64 COMSTOCK ST
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City | GERMANTOWN
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State | OH
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Zip | 45327-1004
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Country | US
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Telephone | 937-855-6581
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Fax | 937-855-0267
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Provider Business Mailing Address
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Address Line | 64 COMSTOCK ST
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City | GERMANTOWN
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State | OH
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Zip | 45327-1004
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Country | US
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Telephone | 937-855-6581
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Fax | 937-855-0267
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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 | SP.2390
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License Number State | OH
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