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General NPI Number Information
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NPI Number | 1831235712
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Entity Type | Individual
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Provider Name | LONDON M BACHELLER
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 3203 PRESERVE TRAILS BLVD
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City | PANAMA CITY
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State | FL
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Zip | 32408-7132
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Country | US
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Telephone | 850-598-5522
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27906
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City | PANAMA CITY
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State | FL
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Zip | 32411
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Country | US
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Telephone | 850-598-5522
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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 | SA7605
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License Number State | FL
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