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General NPI Number Information
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NPI Number | 1851752018
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Entity Type | Individual
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Provider Name | ENANNA SHEENA M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2016
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 73 W MONROE ST STE 227
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City | CHICAGO
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State | IL
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Zip | 60603-4910
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Country | US
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Telephone | 773-234-3188
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Fax |
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Provider Business Mailing Address
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Address Line | 6408 BRIDGE RD APT 472
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City | MONONA
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State | WI
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Zip | 53713-1833
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Country | US
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Telephone | 773-234-3188
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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 | 242003881
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License Number State | IL
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