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General NPI Number Information
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NPI Number | 1326368309
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Entity Type | Individual
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Provider Name | SARAH BURDEN GOBER M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 43 SUMMER HAVEN TRL UNIT 16
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-4049
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Country | US
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Telephone | 713-471-8725
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Fax |
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Provider Business Mailing Address
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Address Line | 43 SUMMER HAVEN TRL UNIT 16
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-4049
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Country | US
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Telephone | 713-471-8725
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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 | SA20317
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 105746
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License Number State | TX
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