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General NPI Number Information
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NPI Number | 1619709433
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Entity Type | Individual
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Provider Name | ANNABELLE CESSNA
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Gender | Female
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Dates
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Enumeration Date | 08/19/2024
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 2000 SHERMAN CIR NE
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City | MASSILLON
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State | OH
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Zip | 44646-5219
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Country | US
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Telephone | 330-830-9988
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Fax |
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Provider Business Mailing Address
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Address Line | 314 BEITLER AVE NE
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City | NEW PHILADELPHIA
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State | OH
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Zip | 44663-2917
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Country | US
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Telephone | 330-447-2329
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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 | COND.20242901-SP
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License Number State | OH
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