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General NPI Number Information
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NPI Number | 1851949622
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Entity Type | Individual
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Provider Name | CHANDLER MARIE HODGKIN M.A., SLP
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Gender | Female
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | 12575 TELEGRAPH RD
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City | TAYLOR
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State | MI
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Zip | 48180-4019
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Country | US
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Telephone | 734-287-4710
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Fax |
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Provider Business Mailing Address
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Address Line | 555 E WILLIAM ST APT 25D
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City | ANN ARBOR
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State | MI
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Zip | 48104-2428
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Country | US
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Telephone | 810-569-0672
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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 | 7101006257
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License Number State | MI
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