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General NPI Number Information
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NPI Number | 1639668239
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Entity Type | Individual
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Provider Name | JILL M REED CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 239 OLDE HALF DAY RD
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City | LINCOLNSHIRE
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State | IL
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Zip | 60069-2906
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Country | US
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Telephone | 847-634-6463
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Fax |
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Provider Business Mailing Address
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Address Line | 807 N SUTHERLAND CT
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City | PALATINE
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State | IL
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Zip | 60074-7151
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Country | US
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Telephone | 847-991-4954
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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 | 146004261
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License Number State | IL
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