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General NPI Number Information
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NPI Number | 1851676274
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Entity Type | Individual
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Provider Name | NOELLE MEYER M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 1323 11TH AVE W
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City | ASHLAND
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State | WI
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Zip | 54806-1406
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Country | US
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Telephone | 715-562-0666
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Fax |
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Provider Business Mailing Address
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Address Line | 1323 11TH AVE W
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City | ASHLAND
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State | WI
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Zip | 54806-1406
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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 | 4104
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License Number State | WI
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