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General NPI Number Information
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NPI Number | 1881987592
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Entity Type | Individual
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Provider Name | AMBER BROOKE NAGELE CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/27/2011
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 388 GOLFVIEW RD APT C
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408
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Country | US
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Telephone | 561-360-6024
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Fax |
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Provider Business Mailing Address
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Address Line | 388 GOLFVIEW RD APT C
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-3569
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Country | US
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Telephone | 561-360-6024
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | 282196
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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 | SA11627
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License Number State | FL
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