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General NPI Number Information
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NPI Number | 1407277742
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Entity Type | Individual
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Provider Name | LAURAL ANN FARRELL M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/03/2014
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1769 JAMESTOWN RD STE 217
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-2307
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Country | US
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Telephone | 757-945-8091
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Fax |
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Provider Business Mailing Address
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Address Line | 296 PATRICKS XING
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-2606
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Country | US
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Telephone | 757-945-8091
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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 | 10612
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License Number State | NC
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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 | 2202007077
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License Number State | VA
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