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General NPI Number Information
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NPI Number | 1780415273
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Entity Type | Individual
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Provider Name | JOHANA ALEJANDRA SCHLIESSER
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Gender | Female
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 4800 HOPKINS RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-3659
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Country | US
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Telephone | 804-743-3630
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Fax |
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Provider Business Mailing Address
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Address Line | 1074 S 2000 E
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City | VERNAL
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State | UT
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Zip | 84078-9146
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Country | US
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Telephone | 725-277-9421
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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 | 2204001462
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License Number State | VA
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