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General NPI Number Information
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NPI Number | 1598751042
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Entity Type | Individual
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Provider Name | ELIZABETH WATERS MCLEAN SLP/CCC
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Gender | Female
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 39TH MEDICAL GROUP UNIT 7095 BOX 185
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City | APO
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State | AE
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Zip | 09824
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Country | TR
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Telephone | 011903223163380
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Fax |
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Provider Business Mailing Address
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Address Line | 39TH MEDICAL GROUP UNIT 7095 BOX 185
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City | APO
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State | AE
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Zip | 09824
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Country | TR
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Telephone | 011903223163380
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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 | SLP004283
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License Number State | GA
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