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General NPI Number Information
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NPI Number | 1891931465
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Entity Type | Individual
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Provider Name | REBECCA ANNE SMITH M.S. SLP
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Gender | Female
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Dates
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Enumeration Date | 01/01/2009
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 114 W UNION STREET
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City | MUNFORDVILLE
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State | KY
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Zip | 42765-4276
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Country | US
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Telephone | 270-551-2114
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Fax |
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Provider Business Mailing Address
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Address Line | 3948 S JACKSON HWY
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City | HORSE CAVE
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State | KY
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Zip | 42749-7026
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Country | US
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Telephone | 270-528-4073
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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 |
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License Number State |
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