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General NPI Number Information
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NPI Number | 1336818129
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Entity Type | Individual
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Provider Name | KIMBERLY JESCHKE CCC-SLP, ATP
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Gender | Female
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 10 CENTER AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-5002
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Country | US
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Telephone | 908-752-7978
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CENTER AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-5002
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Country | US
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Telephone | 908-752-7978
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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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 41YS01099300
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License Number State | NJ
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