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General NPI Number Information
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NPI Number | 1679753883
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Entity Type | Individual
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Provider Name | TRICIA LYNN GARBER SLP
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Gender | Female
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 3417 MANASSAS DR
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-3208
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Country | US
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Telephone | 618-659-9488
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Fax |
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Provider Business Mailing Address
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Address Line | 8517 230TH STREET CT E
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City | GRAHAM
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State | WA
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Zip | 98338-6545
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Country | US
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Telephone | 253-655-5007
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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 | LL 60108247
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License Number State | WA
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