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General NPI Number Information
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NPI Number | 1639660525
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Entity Type | Individual
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Provider Name | SALLY NEWMAN HILL MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 05/25/2018
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Provider Practice Location Address
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Address Line | 223 LONG ST
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City | GALAX
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State | VA
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Zip | 24333-4222
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Country | US
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Telephone | 276-236-2911
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Fax |
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Provider Business Mailing Address
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Address Line | 112 WINDSOR DR
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City | GALAX
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State | VA
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Zip | 24333-3414
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Country | US
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Telephone | 276-233-3066
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Fax | 276-236-5839
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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 | 2202005278
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License Number State | VA
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