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General NPI Number Information
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NPI Number | 1518777820
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Entity Type | Individual
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Provider Name | ALICIA HARPOLE MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 929 W FOSTER AVE
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City | CHICAGO
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State | IL
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Zip | 60640-1491
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Country | US
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Telephone | 773-433-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 2332 W ADDISON ST APT 2B
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City | CHICAGO
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State | IL
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Zip | 60618-6039
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Country | US
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Telephone | 505-377-1337
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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 | 146017559
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License Number State | IL
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