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General NPI Number Information
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NPI Number | 1821575291
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Entity Type | Individual
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Provider Name | JILL CATHERINE MCQUERRY M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 07/27/2018
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Provider Practice Location Address
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Address Line | 1700 DENISON AVE
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City | CLEVELAND
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State | OH
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Zip | 44109-2945
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Country | US
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Telephone | 216-598-1789
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Fax |
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Provider Business Mailing Address
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Address Line | 710 SEASONS PASS DR
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City | BRUNSWICK
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State | OH
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Zip | 44212-4794
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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 | SP10684
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License Number State | OH
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