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General NPI Number Information
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NPI Number | 1629880489
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Entity Type | Individual
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Provider Name | BERYL ALEXANDRA BOBART SLP-CCC
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Gender | Female
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 701 LIBERTY RIDGE LN
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City | LEXINGTON
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State | KY
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Zip | 40509-4564
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Country | US
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Telephone | 843-446-8587
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 AUTUMN RIDGE DR
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City | LEXINGTON
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State | KY
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Zip | 40509-2542
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Country | US
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Telephone | 843-446-8587
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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 | 292464
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License Number State | KY
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