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General NPI Number Information
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NPI Number | 1720992852
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Entity Type | Individual
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Provider Name | JULIA DANIELLE ANODENKO
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 830 S ADDISON AVE
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City | VILLA PARK
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State | IL
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Zip | 60181-2877
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Country | US
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Telephone | 630-620-4433
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Fax |
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Provider Business Mailing Address
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Address Line | 3120 WILLOW GLEN CT
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City | LISLE
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State | IL
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Zip | 60532-4567
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Country | US
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Telephone | 630-703-9622
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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 | 242.019047
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License Number State | IL
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