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General NPI Number Information
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NPI Number | 1790009876
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Entity Type | Individual
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Provider Name | STEPHANIE R GREBLIUNAS MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 7822 W 17TH AVE
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City | LAKEWOOD
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State | CO
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Zip | 80214-6011
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Country | US
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Telephone | 708-212-7183
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Fax |
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Provider Business Mailing Address
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Address Line | 7822 W 17TH AVE
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City | LAKEWOOD
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State | CO
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Zip | 80214-6011
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Country | US
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Telephone | 708-212-7183
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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 | 146.009809
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License Number State | IL
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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 | SLP.0001835
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License Number State | CO
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