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NPI 1649060559

NPI 1649060559 : CHARLOTTE A DARNELL MSC, CCC-SLP : DELAND, FL

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General NPI Number Information
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    NPI Number           |    1649060559
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    Entity Type          |    Individual 
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    Provider Name        |    CHARLOTTE A DARNELL MSC, CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/12/2025
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    Last Update Date     |    05/12/2025
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Provider Practice Location Address
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    Address Line         |    200 N CLARA AVE 
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    City                 |    DELAND
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    State                |    FL
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    Zip                  |    32720-4207
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    Country              |    US
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    Telephone            |    321-578-9673
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 975 
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    City                 |    DE LEON SPRINGS
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    State                |    FL
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    Zip                  |    32130-0975
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    Country              |    US
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    Telephone            |    386-675-3390
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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       |    SA21571
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    License Number State |    FL
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