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General NPI Number Information
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NPI Number | 1528543410
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Entity Type | Individual
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Provider Name | JAIMEE RACHELLE SZYMANSKI
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Gender | Female
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Dates
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Enumeration Date | 09/26/2018
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 3600 WEST ST STE 1
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City | WEIRTON
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State | WV
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Zip | 26062-4555
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Country | US
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Telephone | 304-639-9104
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Fax |
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Provider Business Mailing Address
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Address Line | 253 FRANKFORT RD
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City | NEW CUMBERLAND
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State | WV
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Zip | 26047-3006
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Country | US
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Telephone | 304-650-4014
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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 | SP.13583
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License Number State | OH
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