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General NPI Number Information
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NPI Number | 1417867326
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Entity Type | Individual
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Provider Name | LEYLA MARIEL GOMEZ OLMEDO SLP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 18451 STATE HIGHWAY 104 STE 105
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City | ROBERTSDALE
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State | AL
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Zip | 36567-8752
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Country | US
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Telephone | 251-216-9123
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Fax | 251-215-6972
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Provider Business Mailing Address
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Address Line | 7626 SPANISH FORT BLVD
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City | SPANISH FORT
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State | AL
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Zip | 36527-5376
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Country | US
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Telephone | 251-216-9123
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Fax | 251-215-6972
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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 |
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License Number State |
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