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General NPI Number Information
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NPI Number | 1427479088
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Entity Type | Individual
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Provider Name | COLLEEN SCHWARTZ
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Gender | Female
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Dates
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Enumeration Date | 12/30/2013
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 604 S 11TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-1902
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Country | US
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Telephone | 856-495-3831
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Fax |
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Provider Business Mailing Address
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Address Line | 65 W JIMMIE LEEDS RD
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City | POMONA
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State | NJ
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Zip | 08240-9102
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Country | US
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Telephone | 856-495-3831
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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 | 41YS00662300
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License Number State | NJ
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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 | SL011741
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License Number State | PA
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