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General NPI Number Information
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NPI Number | 1346010907
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Entity Type | Organization
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Legal Business Name | JANE E MECHAM SPEECH THERAPY
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 233 ELKMONT DR
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City | BEREA
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State | KY
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Zip | 40403-9559
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Country | US
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Telephone | 859-893-4713
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Fax |
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Provider Business Mailing Address
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Address Line | 233 ELKMONT DR
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City | BEREA
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State | KY
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Zip | 40403-9559
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Country | US
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Telephone | 859-893-4713
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Fax |
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Authorized Official
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Title or Position | JANE MECHAM, SPEECH THERAPIST
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Name | JANE E MECHAM
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Credential | MNS, CCC-SLP
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Telephone | 859-893-4713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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