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General NPI Number Information
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NPI Number | 1679708648
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Entity Type | Individual
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Provider Name | ELIZABETH C PLATOVSKY MSR, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 4612 ANNERLY CT
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City | CHARLOTTE
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State | NC
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Zip | 28226-3239
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Country | US
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Telephone | 864-918-7416
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Fax |
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Provider Business Mailing Address
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Address Line | 4095 DE ZAVALA RD
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City | SHAVANO PARK
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State | TX
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Zip | 78249-2066
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Country | US
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Telephone | 210-493-8100
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Fax | 210-493-8154
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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 | 10181
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 103727
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License Number State | TX
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