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General NPI Number Information
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NPI Number | 1871048496
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Entity Type | Individual
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Provider Name | GABRIELLA MARCY M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 9192 WALDEMAR RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-1131
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Country | US
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Telephone | 919-246-2688
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Fax | 317-471-8627
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Provider Business Mailing Address
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Address Line | 9192 WALDEMAR RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-1131
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Country | US
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Telephone | 317-471-8560
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Fax | 317-471-8627
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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 | SZ7741
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146.013891
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22008053A
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License Number State | IN
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