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NPI 1386010825

NPI 1386010825 : ANGELA BARRONTON M.S., CCC-SLP : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1386010825
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA BARRONTON M.S., CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2015
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    Last Update Date     |    11/01/2022
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Provider Practice Location Address
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    Address Line         |    8480 CRAIG ST 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46250-4745
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    Country              |    US
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    Telephone            |    317-652-6293
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16229 COUNTRYSIDE BLVD 
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    City                 |    WESTFIELD
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    State                |    IN
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    Zip                  |    46074-8398
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    Country              |    US
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    Telephone            |    317-652-6293
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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       |    SLP008967
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    22006666A
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    License Number State |    IN
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