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General NPI Number Information
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NPI Number | 1730402777
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Entity Type | Individual
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Provider Name | SEANA PALMER M.S. CCC/SLP-L
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Gender | Female
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3701 168TH ST
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City | COUNTRY CLUB HILLS
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State | IL
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Zip | 60478-2123
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Country | US
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Telephone | 708-335-9770
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Fax |
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Provider Business Mailing Address
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Address Line | 14060 CHICORY TRL
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City | HOMER GLEN
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State | IL
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Zip | 60491-9464
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Country | US
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Telephone | 224-523-0487
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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 | 146.009954
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License Number State | IL
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