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General NPI Number Information
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NPI Number | 1356449433
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Entity Type | Individual
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Provider Name | ERIN LYNN JOBE CARBONARA MA CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 2037 WEST CUYLER AVENUE
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City | CHICAGO
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State | IL
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Zip | 60618-3049
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Country | US
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Telephone | 773-919-9181
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Fax | 773-337-4987
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Provider Business Mailing Address
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Address Line | 2037 W CUYLER AVE
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City | CHICAGO
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State | IL
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Zip | 60618-3005
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Country | US
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Telephone | 773-919-9181
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Fax | 773-337-4987
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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 | 146.008469
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License Number State | IL
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