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General NPI Number Information
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NPI Number | 1497301030
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Entity Type | Individual
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Provider Name | AMBER GOVEY M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/09/2019
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 15820 ADDISON RD
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City | ADDISON
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State | TX
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Zip | 75001-3549
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Country | US
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Telephone | 866-919-3240
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Fax |
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Provider Business Mailing Address
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Address Line | 335 FOXGLOVE AVE
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City | SUMMERVILLE
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State | SC
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Zip | 29483-5567
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Country | US
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Telephone | 304-374-6547
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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 |
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License Number State | CO
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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 | 0004398
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License Number State | CO
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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 | 318908
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7926
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License Number State | SC
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