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General NPI Number Information
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NPI Number | 1487393351
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Entity Type | Individual
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Provider Name | ABBY ROBERTSON MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 01/27/2024
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Provider Practice Location Address
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Address Line | 1 CHILDRENS PLZ
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City | DAYTON
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State | OH
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Zip | 45404-1815
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Country | US
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Telephone | 937-641-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 24 HOLLYWOOD BLVD SW STE 7
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City | FORT WALTON BEACH
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State | FL
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Zip | 32548-4893
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Country | US
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Telephone | 850-226-7411
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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 | 283XC2000X
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Taxonomy Name | Children's Rehabilitation Hospital
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License Number | SP.15747
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License Number State | OH
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