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General NPI Number Information
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NPI Number | 1770600298
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Entity Type | Individual
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Provider Name | MARGARET W. LUM M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 12125 44TH AVE E
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City | BRADENTON
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State | FL
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Zip | 34211-9302
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Country | US
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Telephone | 941-727-2067
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Fax |
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Provider Business Mailing Address
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Address Line | 6204 TRIPLE TAIL CT
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5907
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Country | US
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Telephone | 941-718-7889
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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 | 10145
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4879
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License Number State | SC
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Taxonomy #3
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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 | FL
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA 10260
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License Number State | FL
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