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General NPI Number Information
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NPI Number | 1831351543
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Entity Type | Individual
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Provider Name | DANA JANCIK EGGERS MA, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 470 CENTER ST BLDG 2
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City | CHARDON
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State | OH
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Zip | 44024-1098
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Country | US
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Telephone | 440-478-6192
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Fax |
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Provider Business Mailing Address
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Address Line | 31231 ROBERTA DR
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City | BAY VILLAGE
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State | OH
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Zip | 44140-1561
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Country | US
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Telephone | 216-410-2879
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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 | SP9208
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License Number State | OH
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