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General NPI Number Information
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NPI Number | 1447859525
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Entity Type | Individual
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Provider Name | HANNAH LOGAN SLUDER
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Gender | Female
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 801 E INSKIP DR
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City | KNOXVILLE
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State | TN
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Zip | 37912-3734
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Country | US
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Telephone | 865-357-1660
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 WOODROW DR
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City | KNOXVILLE
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State | TN
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Zip | 37918-1756
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Country | US
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Telephone | 423-972-3752
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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 | 6864
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License Number State | TN
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