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General NPI Number Information
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NPI Number | 1497977557
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Entity Type | Individual
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Provider Name | JESSICA LANE GHERING DOVENBERG MA/CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE TRA 491
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-585-1260
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Fax |
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Provider Business Mailing Address
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Address Line | 14425 SW 84TH CT
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City | PALMETTO BAY
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State | FL
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Zip | 33158-1416
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Country | US
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Telephone | 786-566-2613
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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 | SA8606
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License Number State | FL
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