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General NPI Number Information
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NPI Number | 1760500458
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Entity Type | Individual
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Provider Name | JULIE LYNN DEANGELIS SLP
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 2953 STATE ST APT B
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3426
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Country | US
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Telephone | 480-720-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 427 E ANAPAMU ST APT C
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City | SANTA BARBARA
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State | CA
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Zip | 93101-1332
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Country | US
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Telephone | 805-636-0439
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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 | 15129
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License Number State | CA
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