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General NPI Number Information
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NPI Number | 1689215428
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Entity Type | Individual
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Provider Name | MS. CARLY GRACE VOWLES
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Gender | Female
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 1695 LENAPE RD
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City | WEST CHESTER
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State | PA
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Zip | 19382-6801
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Country | US
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Telephone | 610-793-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 261 INDIAN RUN ST UNIT 4212
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City | EXTON
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State | PA
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Zip | 19341-3719
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Country | US
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Telephone | 410-487-1297
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 2204000411
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License Number State | VA
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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 | SL016916
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License Number State | PA
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