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General NPI Number Information
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NPI Number | 1295392413
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Entity Type | Individual
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Provider Name | CLAIRE NETEMEYER
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Gender | Female
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 4022 W NEWPORT AVE
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City | CHICAGO
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State | IL
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Zip | 60641-4021
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Country | US
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Telephone | 312-685-1795
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Fax |
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Provider Business Mailing Address
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Address Line | 3117 N SHEFFIELD AVE APT 3
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City | CHICAGO
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State | IL
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Zip | 60657-8344
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Country | US
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Telephone | 248-712-4266
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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 | 146017917
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License Number State | IL
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