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General NPI Number Information
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NPI Number | 1740796556
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Entity Type | Individual
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Provider Name | CHERYL LYNN REMMERT MS CCC/SLP-L
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Gender | Female
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Dates
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Enumeration Date | 12/17/2017
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Last Update Date | 12/17/2017
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Provider Practice Location Address
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Address Line | 955 N ILLINOIS ST
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City | DECATUR
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State | IL
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Zip | 62521-1427
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Country | US
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Telephone | 217-362-3280
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 DEVONSHIRE DR
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City | MONTICELLO
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State | IL
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Zip | 61856-2250
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Country | US
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Telephone | 217-762-7932
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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 | 146.003369
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License Number State | IL
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