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General NPI Number Information
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NPI Number | 1598399925
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Entity Type | Individual
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Provider Name | SHARON LEIGH MACDONALD TSSLD
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Gender | Female
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 4006 GREEN HERON SPRING DR
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City | CARPINTERIA
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State | CA
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Zip | 93013-3194
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Country | US
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Telephone | 817-300-3386
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1161
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City | SANTA BARBARA
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State | CA
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Zip | 93102-1161
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Country | US
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Telephone | 817-300-3386
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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 |
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License Number State |
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