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General NPI Number Information
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NPI Number | 1275813545
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Entity Type | Individual
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Provider Name | LINDSEY BRILEY ROY CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2011
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Last Update Date | 08/18/2011
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Provider Practice Location Address
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Address Line | 108 ENERGY PKWY
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City | LAFAYETTE
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State | LA
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Zip | 70508-3818
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Country | US
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Telephone | 337-504-4244
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Fax |
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Provider Business Mailing Address
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Address Line | 316 LEBESQUE RD
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City | LAFAYETTE
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State | LA
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Zip | 70507-5108
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Country | US
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Telephone | 337-351-4818
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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 | 6509
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License Number State | LA
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