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General NPI Number Information
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NPI Number | 1366350886
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Entity Type | Individual
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Provider Name | AVERY SPANGLER MARTIN M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 181 WOLVERINE DR
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City | QUITMAN
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State | LA
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Zip | 71268-4402
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Country | US
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Telephone | 318-259-2698
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Fax |
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Provider Business Mailing Address
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Address Line | 387 JOE SHOVAN RD
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City | QUITMAN
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State | LA
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Zip | 71268-1052
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Country | US
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Telephone | 318-548-4463
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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 | 9941
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License Number State | LA
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