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General NPI Number Information
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NPI Number | 1588789663
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Entity Type | Individual
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Provider Name | TANIA SHERVON ADAMS SLP-CCC
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 4550 SHENANDOAH AVE NW
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City | ROANOKE
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State | VA
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Zip | 24017-4749
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Country | US
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Telephone | 540-982-2860
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Fax |
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Provider Business Mailing Address
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Address Line | 905 WINDING TRAIL LN
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City | RICHMOND
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State | VA
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Zip | 23223-2289
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Country | US
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Telephone | 804-955-5311
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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 | 2202004471
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License Number State | VA
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