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General NPI Number Information
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NPI Number | 1720233380
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Entity Type | Individual
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Provider Name | NANCY A COVARRUBIAS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 6341 E 34TH AVE
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City | APACHE JUNCTION
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State | AZ
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Zip | 85219-7859
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Country | US
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Telephone | 480-984-4033
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Fax |
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Provider Business Mailing Address
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Address Line | 6341 E 34TH AVE
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City | APACHE JUNCTION
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State | AZ
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Zip | 85219-7859
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Country | US
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Telephone | 480-984-4033
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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 | SLP5889
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License Number State | AZ
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