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General NPI Number Information
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NPI Number | 1336348051
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Entity Type | Individual
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Provider Name | JULIE ANNE DORN M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 10199 WOODFIELD LN
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City | SAINT LOUIS
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State | MO
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Zip | 63132-2922
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Country | US
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Telephone | 877-407-3422
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Fax | 877-407-4329
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Provider Business Mailing Address
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Address Line | 129 ASPENCADE CIR
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City | SAINT PETERS
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State | MO
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Zip | 63376-3695
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Country | US
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Telephone | 314-409-3730
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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 | 2004012750
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License Number State | MO
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