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NPI 1568869238

NPI 1568869238 : STEPHANIE L NEWELL M.A., CCC-SLP : GETTYSBURG, PA

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General NPI Number Information
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    NPI Number           |    1568869238
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE L NEWELL M.A., CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/25/2014
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    Last Update Date     |    02/11/2020
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Provider Practice Location Address
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    Address Line         |    820 CHAMBERSBURG RD 
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    City                 |    GETTYSBURG
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    State                |    PA
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    Zip                  |    17325-3310
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    Country              |    US
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    Telephone            |    717-337-4206
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14 LAUREL DR 
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    City                 |    MECHANICSBURG
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    State                |    PA
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    Zip                  |    17055-5535
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    Country              |    US
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    Telephone            |    717-574-6079
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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       |    SL012130
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    License Number State |    PA
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