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General NPI Number Information
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NPI Number | 1841687050
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Entity Type | Individual
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Provider Name | DANIELLE CHRISTINE LABROVIC M.S., S.L.P
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Gender | Female
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Dates
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Enumeration Date | 04/26/2015
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Last Update Date | 04/26/2015
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Provider Practice Location Address
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Address Line | 501 ANDERSON ST
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City | BIG TIMBER
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State | MT
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Zip | 59011-9500
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Country | US
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Telephone | 914-263-8588
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 310
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City | BIG TIMBER
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State | MT
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Zip | 59011-0310
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Country | US
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Telephone | 914-263-8588
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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 | SLP-SP-TMP-4052
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License Number State | MT
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