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General NPI Number Information
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NPI Number | 1578986097
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Entity Type | Individual
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Provider Name | MRS. JUDY FREEDMAN
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Gender | Female
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 02/04/2014
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Provider Practice Location Address
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Address Line | 651 E 222ND ST
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City | EUCLID
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State | OH
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Zip | 44123-2031
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Country | US
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Telephone | 216-797-2932
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Fax |
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Provider Business Mailing Address
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Address Line | 24803 WIMBLEDON RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-3230
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Country | US
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Telephone | 216-464-6569
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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 | SP-2520
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License Number State | OH
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