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General NPI Number Information
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NPI Number | 1902286024
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Entity Type | Individual
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Provider Name | JENNIFER H GARRISON M.A,, SLP
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Gender | Female
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 3546 CALLE SUENOS SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-6716
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Country | US
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Telephone | 913-530-1737
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Fax | 505-396-4598
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Provider Business Mailing Address
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Address Line | 3546 CALLE SUENOS SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-6716
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Country | US
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Telephone | 913-530-1737
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Fax | 505-396-4598
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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 | T-3022
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License Number State | KS
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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 | SLP7520
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License Number State | NM
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