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General NPI Number Information
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NPI Number | 1801198122
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Entity Type | Individual
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Provider Name | ELIZABETH MARY DENZER M.S
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Gender | Female
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Dates
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Enumeration Date | 11/18/2010
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 7007 HARBOUR VIEW BLVD
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City | SUFFOLK
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State | VA
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Zip | 23435-3657
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Country | US
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Telephone | 757-889-4663
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Fax |
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Provider Business Mailing Address
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Address Line | 30 CHERRY ACRES DR
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City | HAMPTON
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State | VA
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Zip | 23669-2902
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Country | US
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Telephone | 757-281-8619
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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 | 2202005965
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License Number State | VA
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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 | SL015175
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License Number State | PA
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