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General NPI Number Information
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NPI Number | 1265706204
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Entity Type | Individual
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Provider Name | CHONITA STEWART-DAY M.A., SLP-CF
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Gender | Female
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 2423 GLENWOOD AVE
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City | JOLIET
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State | IL
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Zip | 60435-5483
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Country | US
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Telephone | 815-725-9992
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Fax |
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Provider Business Mailing Address
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Address Line | 1842 S 14TH AVE
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City | BROADVIEW
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State | IL
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Zip | 60155-3112
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Country | US
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Telephone |
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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 | 242002171
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License Number State | IL
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