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General NPI Number Information
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NPI Number | 1487399275
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Entity Type | Individual
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Provider Name | CASSANDRA AMBERGER M.A., CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/05/2022
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 580 U.S. HWY 45 S.
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City | NORRIS CITY
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State | IL
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Zip | 62869-0399
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Country | US
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Telephone | 618-378-3212
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Fax | 618-378-3902
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Provider Business Mailing Address
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Address Line | PO BOX 399
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City | NORRIS CITY
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State | IL
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Zip | 62869-0399
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Country | US
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Telephone | 618-378-3212
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Fax | 618-378-3902
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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 | 242006646
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License Number State | IL
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