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General NPI Number Information
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NPI Number | 1669624847
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Entity Type | Individual
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Provider Name | ANN LEAH SCHWAB
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Gender | Female
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Dates
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Enumeration Date | 10/19/2008
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Last Update Date | 10/19/2008
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Provider Practice Location Address
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Address Line | 2089 VIEW POINT RD
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City | PRESCOTT
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State | AZ
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Zip | 86303-5097
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Country | US
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Telephone | 714-731-1207
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Fax |
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Provider Business Mailing Address
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Address Line | 10789 CHURCHILL PL
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City | TUSTIN
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State | CA
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Zip | 92782-1366
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Country | US
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Telephone |
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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 | 5821
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License Number State | AZ
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