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General NPI Number Information
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NPI Number | 1427729813
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Entity Type | Individual
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Provider Name | JENILEE WOLTMAN CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2021
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 720 BOX BUTTE AVE
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City | HEMINGFORD
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State | NE
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Zip | 69348-9706
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Country | US
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Telephone | 308-487-8988
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Fax | 308-221-8988
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Provider Business Mailing Address
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Address Line | PO BOX 794
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City | HEMINGFORD
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State | NE
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Zip | 69348-0794
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Country | US
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Telephone | 308-487-8988
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Fax | 308-221-8988
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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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