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General NPI Number Information
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NPI Number | 1538765771
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Entity Type | Individual
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Provider Name | ERIKA CARACHILO M.A., CCC-SLP, CLT
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Gender | Female
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Dates
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Enumeration Date | 12/10/2020
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 1331 E WYOMING AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19124-3808
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Country | US
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Telephone | 215-537-7659
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Fax | 215-537-7872
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Provider Business Mailing Address
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Address Line | 675 LINDLEY RD
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City | GLENSIDE
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State | PA
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Zip | 19038-2045
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Country | US
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Telephone | 215-828-1390
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Fax | 215-537-7872
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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 | SL004648L
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License Number State | PA
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