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General NPI Number Information
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NPI Number | 1518575984
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Entity Type | Individual
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Provider Name | LINDSEY FERRELL SLP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 417 COMMERCIAL CT STE C
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City | VENICE
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State | FL
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Zip | 34292-1655
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Country | US
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Telephone | 941-485-0121
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Fax | 941-485-0519
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Provider Business Mailing Address
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Address Line | 5 REVERE DR STE 120
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City | NORTHBROOK
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State | IL
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Zip | 60062-8005
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Country | US
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Telephone | 941-485-0121
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Fax | 941-485-0519
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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 | SA17925
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License Number State | FL
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