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General NPI Number Information
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NPI Number | 1255241196
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Entity Type | Individual
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Provider Name | CHARLES URBANCZYK SLP
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Gender | Male
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 419 WATERFORD ST
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City | EDINBORO
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State | PA
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Zip | 16412-5517
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Country | US
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Telephone | 814-734-5021
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Fax |
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Provider Business Mailing Address
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Address Line | 8477 S SUNCOAST BLVD
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City | HOMOSASSA
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State | FL
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Zip | 34446-5028
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Country | US
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Telephone | 800-381-0822
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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 | PSL003361
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License Number State | NY
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