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General NPI Number Information
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NPI Number | 1558786996
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Entity Type | Individual
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Provider Name | JENNIFER TANGEMAN M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2014
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 380 ELM ST
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City | LONDON
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State | OH
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Zip | 43140-9220
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Country | US
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Telephone | 740-845-3272
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Fax |
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Provider Business Mailing Address
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Address Line | 5486 TAYLOR LANE AVE
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City | HILLIARD
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State | OH
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Zip | 43026-9202
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Country | US
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Telephone | 614-940-2461
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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 | SP9874
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License Number State | OH
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