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General NPI Number Information
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NPI Number | 1518682814
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Entity Type | Individual
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Provider Name | SEAN CHRISTOPHER VORNHAGEN MA CCC-SLP
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Gender | Male
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 1917 LOHMANS CROSSING RD
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City | AUSTIN
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State | TX
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Zip | 78734-5269
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Country | US
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Telephone | 512-261-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 HAZY HILLS LOOP
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620-2220
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Country | US
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Telephone | 512-709-6003
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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 | 108338
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License Number State | TX
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