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General NPI Number Information
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NPI Number | 1568267904
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Entity Type | Individual
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Provider Name | JANELLE LINETTE PAUL
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Gender | Female
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 4819 WALDEN LN # 4880
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City | LANHAM
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State | MD
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Zip | 20706-4826
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Country | US
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Telephone | 240-667-1423
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Fax |
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Provider Business Mailing Address
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Address Line | 8721 OLD LINE RD
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City | PHILADELPHIA
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State | PA
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Zip | 19128-2021
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Country | US
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Telephone | 717-507-1682
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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 | SL012042
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 11380
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License Number State | MD
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