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General NPI Number Information
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NPI Number | 1407324239
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Entity Type | Individual
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Provider Name | AMBER PRICE CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/09/2018
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Last Update Date | 11/09/2018
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Provider Practice Location Address
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Address Line | 1820 WESTERN AVE
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City | NORTHBROOK
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State | IL
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Zip | 60062-6052
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Country | US
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Telephone | 847-400-8726
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 N WESTERN AVE APT 3G
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City | CHICAGO
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State | IL
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Zip | 60625-2051
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Country | US
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Telephone |
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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 | 146010337
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License Number State | IL
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