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General NPI Number Information
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NPI Number | 1427829571
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Entity Type | Individual
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Provider Name | JENIFER OBERG MS SLP-CF
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Gender | Female
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 1102 S CONGRESS AVE
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City | AUSTIN
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State | TX
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Zip | 78704-1728
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Country | US
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Telephone | 512-462-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 136 ALOE TREE LN
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City | BUDA
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State | TX
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Zip | 78610-4254
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Country | US
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Telephone | 724-272-3968
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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 | 122013
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License Number State | TX
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