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General NPI Number Information
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NPI Number | 1669922217
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Entity Type | Organization
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Legal Business Name | SOVEREIGN PEDIATRIC
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 1990 GREEN TRAILS DR
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City | LISLE
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State | IL
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Zip | 60532-3345
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Country | US
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Telephone | 630-370-2711
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Fax |
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Provider Business Mailing Address
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Address Line | 1990 GREEN TRAILS DR
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City | LISLE
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State | IL
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Zip | 60532-3345
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Country | US
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Telephone | 630-370-2711
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | SUSAN BINDER
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Credential | MA, SLP
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Telephone | 630-370-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 146.010876
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License Number State | IL
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