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General NPI Number Information
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NPI Number | 1740704576
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Entity Type | Individual
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Provider Name | JENNA ALTHOFF
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Gender | Female
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 2800 CARRIAGE RD
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City | POWELL
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State | OH
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Zip | 43065-8502
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Country | US
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Telephone | 740-657-4850
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Fax |
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Provider Business Mailing Address
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Address Line | 5457 EAGLE RIVER DR
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City | DUBLIN
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State | OH
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Zip | 43016-1666
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Country | US
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Telephone | 614-493-7140
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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 |
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License Number State | OH
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