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General NPI Number Information
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NPI Number | 1467958009
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Entity Type | Individual
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Provider Name | VICTORIA ROSE LOVETT HERRING SLP
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Gender | Female
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 200 W MOORE ST
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City | VALDOSTA
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State | GA
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Zip | 31602-2919
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Country | US
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Telephone | 229-253-8500
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Fax | 229-253-8522
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Provider Business Mailing Address
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Address Line | 53 LOGANBERRY CIRCLE
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City | VALDOSTA
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State | GA
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Zip | 31602-2303
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Country | US
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Telephone | 229-560-6600
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Fax | 888-841-9040
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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 | SZ8429
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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 | SLP010776
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA16816
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License Number State | FL
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