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General NPI Number Information
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NPI Number | 1275934028
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Entity Type | Individual
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Provider Name | LAURA SCHEFFER MA CCCSLP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 6696 GOSHEN RD
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City | GOSHEN
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State | OH
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Zip | 45122-9273
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Country | US
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Telephone | 513-722-2224
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Fax |
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Provider Business Mailing Address
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Address Line | 1219 WINTERCREST CIR
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City | MILFORD
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State | OH
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Zip | 45150-2781
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Country | US
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Telephone | 513-965-9179
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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 | SP 9116
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License Number State | OH
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