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General NPI Number Information
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NPI Number | 1639499114
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Entity Type | Individual
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Provider Name | CHRISTINE LAPORTA JUAREZ M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2010
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 25615 N RANCH GATE RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-2141
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Country | US
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Telephone | 202-561-7280
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Fax |
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Provider Business Mailing Address
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Address Line | 3606 W FOLLEY ST
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City | CHANDLER
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State | AZ
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Zip | 85226-4910
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Country | US
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Telephone | 703-963-2851
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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 | SLP9673
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License Number State | AZ
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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 | SLP000128
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 05949
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202004969
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License Number State | VA
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