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General NPI Number Information
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NPI Number | 1710824941
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Entity Type | Individual
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Provider Name | JENNIFER CANTRELL M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 704 S WASHINGTON ST
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City | MONROE
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State | NC
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Zip | 28112-5570
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Country | US
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Telephone | 704-282-6259
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Fax |
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Provider Business Mailing Address
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Address Line | 1004 PINE TWIG WAY
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City | MATTHEWS
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State | NC
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Zip | 28104-6893
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Country | US
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Telephone | 704-282-6259
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Fax | 704-296-3079
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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 | 5147
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License Number State | NC
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