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General NPI Number Information
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NPI Number | 1376861716
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Entity Type | Individual
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Provider Name | PAULA JOSEPHINE WILDI MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/10/2010
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 723 SUMMERS ST
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City | PARKERSBURG
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State | WV
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Zip | 26101-6022
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Country | US
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Telephone | 304-428-5573
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Fax |
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Provider Business Mailing Address
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Address Line | 809 FARSON ST UNIT 105
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City | BELPRE
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State | OH
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Zip | 45714-1067
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Country | US
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Telephone | 740-423-1507
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Fax | 740-401-0660
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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 | S-1231
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License Number State | WV
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