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General NPI Number Information
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NPI Number | 1700047529
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Entity Type | Individual
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Provider Name | JULIANE SCHMOLL MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 10 E. WASHINGTON AVE
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City | ATLANTIC HIGHLANDS
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State | NJ
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Zip | 07716-1227
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Country | US
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Telephone | 646-319-2611
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Fax |
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Provider Business Mailing Address
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Address Line | 10 E. WASHINGTON AVE
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City | ATLANTIC HIGHLANDS
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State | NJ
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Zip | 07716-1227
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Country | US
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Telephone | 646-319-2611
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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 | 012089
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License Number State | NY
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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 | 41YS00561700
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License Number State | NJ
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