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General NPI Number Information
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NPI Number | 1801301783
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Entity Type | Individual
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Provider Name | PAMELA LOUISE ENGLISH M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 2500 W SAN TAN HEIGHTS BLVD
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-4814
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Country | US
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Telephone | 708-398-7654
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 S RINCON DR
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City | CHANDLER
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State | AZ
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Zip | 85286-0055
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Country | US
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Telephone | 708-308-7654
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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 | 246Q00000X
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Taxonomy Name | Pathology Specialist/Technologist
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License Number | SLP10938
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License Number State | AZ
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