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NPI 1841449865

NPI 1841449865 : CHERYL SCOTT MITCHELL M.S. CCC/SLP : FORT PIERCE, FL

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General NPI Number Information
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    NPI Number           |    1841449865
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    Entity Type          |    Individual 
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    Provider Name        |    CHERYL SCOTT MITCHELL M.S. CCC/SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/15/2008
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    Last Update Date     |    01/30/2015
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Provider Practice Location Address
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    Address Line         |    210 S INDIAN RIVER DR 
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    City                 |    FORT PIERCE
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    State                |    FL
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    Zip                  |    34950-4337
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    Country              |    US
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    Telephone            |    772-461-7689
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9530 SHADOW LN 
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    City                 |    FORT PIERCE
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    State                |    FL
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    Zip                  |    34951-2934
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    Country              |    US
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    Telephone            |    772-216-2530
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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       |    SA7379
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    License Number State |    FL
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