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General NPI Number Information
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NPI Number | 1477443315
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Entity Type | Individual
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Provider Name | DEANNE CLENDENNING LEE CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 3400 W 66TH ST
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City | EDINA
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State | MN
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Zip | 55435-2111
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Country | US
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Telephone | 612-273-6228
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Fax |
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Provider Business Mailing Address
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Address Line | 4611 E 36TH ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-2923
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Country | US
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Telephone | 202-253-3313
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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 | 529184
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License Number State | MN
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