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General NPI Number Information
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NPI Number | 1356287379
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Entity Type | Individual
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Provider Name | MRS. ANGELA SIMONEAUX CRENSHAW
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Gender | Female
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 608 DAKOTA ST
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City | KANNAPOLIS
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State | NC
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Zip | 28083-6935
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Country | US
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Telephone | 704-260-6310
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Fax |
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Provider Business Mailing Address
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Address Line | 6167 MAPLE LEAF AVE
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City | HARRISBURG
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State | NC
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Zip | 28075-6521
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Country | US
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Telephone | 770-355-2798
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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 | 1202122
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License Number State | NC
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