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General NPI Number Information
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NPI Number | 1447178512
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Entity Type | Individual
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Provider Name | ANDREA N LEDESMA CUELLO
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Gender | Female
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 1575 W SOUTHERN AVE
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-7456
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Country | US
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Telephone | 480-982-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 5550 PEACHTREE PKWY
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-2825
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 16626
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License Number State | AZ
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