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General NPI Number Information
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NPI Number | 1356251615
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Entity Type | Individual
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Provider Name | SARAH JOY PECHTL SLP
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Gender | Female
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 1043 TREMONT ST
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City | ALTON
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State | IL
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Zip | 62002-6749
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Country | US
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Telephone | 618-463-2057
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 CHANCELLOR DR
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-3951
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Country | US
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Telephone | 224-230-1272
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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 | 14549951
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License Number State | IL
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