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General NPI Number Information
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NPI Number | 1609189026
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Entity Type | Individual
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Provider Name | JENNIFER L PEDRI SLP
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Gender | Female
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 3010 BERKMAR DR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1443
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Country | US
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Telephone | 434-973-5031
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Fax | 434-973-0520
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Provider Business Mailing Address
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Address Line | 1946 LONICERA WAY
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-9031
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Country | US
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Telephone | 843-655-6345
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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 | 4691
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202008418
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License Number State | VA
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