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General NPI Number Information
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NPI Number | 1770507964
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Entity Type | Individual
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Provider Name | DEBORAH LOEST DEPPE MS,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3009 HUBBARD LN SUITE A
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City | EUREKA
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State | CA
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Zip | 95501-4800
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Country | US
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Telephone | 707-445-9545
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Fax | 707-445-9545
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Provider Business Mailing Address
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Address Line | 1212 8TH AVE
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City | WESTHAVEN
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State | CA
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Zip | 95570-9502
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Country | US
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Telephone | 707-445-9545
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Fax | 707-445-9545
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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 | SP6870
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License Number State | CA
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