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General NPI Number Information
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NPI Number | 1821188285
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Entity Type | Individual
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Provider Name | DEBORAH M SEBRELL M.A., CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 06/19/2021
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Provider Practice Location Address
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Address Line | 1635 BOLING ST
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City | JACKSON
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State | MS
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Zip | 39213-4418
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Country | US
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Telephone | 601-366-0123
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Fax | 601-366-0649
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Provider Business Mailing Address
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Address Line | 120 BRISCO ST
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City | MADISON
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State | MS
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Zip | 39110-4601
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Country | US
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Telephone | 601-668-0992
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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 | S2527
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License Number State | MS
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