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General NPI Number Information
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NPI Number | 1700245040
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Entity Type | Individual
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Provider Name | PAIGE DAWDY M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 1043 TREMONT ST
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City | ALTON
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State | IL
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Zip | 62002-6749
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Country | US
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Telephone | 184-632-0576
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Fax |
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Provider Business Mailing Address
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Address Line | 5511 LADUE DR
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City | GODFREY
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State | IL
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Zip | 62035-2546
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Country | US
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Telephone | 618-946-6985
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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 | 242003537
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License Number State | IL
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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 | 146013201
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License Number State | IL
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