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General NPI Number Information
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NPI Number | 1467279414
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Entity Type | Individual
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Provider Name | EMILY ANDERSON M.S., CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 5424 LAND O LAKES BLVD
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City | LAND O LAKES
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State | FL
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Zip | 34639-3453
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Country | US
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Telephone | 813-335-1173
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Fax | 813-996-9691
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Provider Business Mailing Address
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Address Line | 2215 NEWBERGER RD
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City | LUTZ
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State | FL
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Zip | 33549-4038
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Country | US
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Telephone | 614-477-0978
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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 | 12521
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License Number State | FL
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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 | SI7219
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License Number State | FL
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