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General NPI Number Information
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NPI Number | 1811323215
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Entity Type | Individual
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Provider Name | TARY ANN ALEXANDER MS CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 09/18/2013
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 14930 LAPLAISANCE RD STE 118
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City | MONROE
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State | MI
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Zip | 48161-3878
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Country | US
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Telephone | 734-888-6461
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Fax | 734-275-0985
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Provider Business Mailing Address
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Address Line | 4841 MONROE ST
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City | TOLEDO
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State | OH
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Zip | 43623-4385
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Country | US
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Telephone | 419-241-6219
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Fax | 419-241-5912
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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 |
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License Number State |
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