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General NPI Number Information
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NPI Number | 1780700732
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Entity Type | Individual
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Provider Name | JULIE K O'MALLEY SLP-AL
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 22108 PRINCETON CIR
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City | FRANKFORT
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State | IL
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Zip | 60423-8503
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Country | US
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Telephone | 708-717-4924
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Fax | 815-464-8431
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Provider Business Mailing Address
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Address Line | 18823 GREENBAY AVE
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City | LANSING
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State | IL
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Zip | 60438-3428
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Country | US
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Telephone | 708-212-5740
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 217.000075
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License Number State | IL
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