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General NPI Number Information
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NPI Number | 1699132118
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Entity Type | Individual
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Provider Name | ANGELE D. JABRE M.A, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 5174 COTE DU RHONE WAY
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City | SARASOTA
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State | FL
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Zip | 34238-4470
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Country | US
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Telephone | 317-607-2135
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Fax |
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Provider Business Mailing Address
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Address Line | 5174 COTE DU RHONE WAY
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City | SARASOTA
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State | FL
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Zip | 34238-4470
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Country | US
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Telephone | 317-607-2135
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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 | 4774
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License Number State | MA
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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 | SP.10785
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA12775
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22004444A
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License Number State | IN
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