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General NPI Number Information
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NPI Number | 1386397701
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Entity Type | Individual
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Provider Name | ZACHARY SMITH SLP
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Gender | Male
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 14901 CAREY RD
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City | CARMEL
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State | IN
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Zip | 46033-6000
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Country | US
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Telephone | 877-407-3422
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Fax | 877-407-4329
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Provider Business Mailing Address
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Address Line | 1824 TOUBY PIKE STE B
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City | KOKOMO
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State | IN
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Zip | 46901-2573
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Country | US
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Telephone | 765-628-7400
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Fax | 855-940-0177
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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 | 22007302A
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License Number State | IN
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