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General NPI Number Information
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NPI Number | 1790333169
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Entity Type | Individual
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Provider Name | REBECCA WESTHOFF CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 1690 ELM ST
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City | DUBUQUE
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State | IA
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Zip | 52001-3686
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Country | US
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Telephone | 563-239-9282
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Fax |
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Provider Business Mailing Address
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Address Line | 1742 330TH AVE
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City | DYERSVILLE
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State | IA
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Zip | 52040-8759
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Country | US
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Telephone |
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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 | 092613
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License Number State | IA
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