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General NPI Number Information
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NPI Number | 1568044030
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Entity Type | Individual
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Provider Name | SHAWN GIFFIN-DEAN M.ED., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2021
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Last Update Date | 04/24/2021
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Provider Practice Location Address
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Address Line | 550 N LINCOLN AVE APT 323
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City | LOVELAND
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State | CO
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Zip | 80537-5585
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Country | US
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Telephone | 919-323-5752
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Fax |
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Provider Business Mailing Address
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Address Line | 550 N LINCOLN AVE APT 323
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City | LOVELAND
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State | CO
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Zip | 80537-5585
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Country | US
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Telephone | 919-323-5752
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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 | SLP.0003832
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License Number State | CO
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