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General NPI Number Information
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NPI Number | 1912173097
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Entity Type | Organization
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Legal Business Name | AMY ROJAS, M.A., CCC-SLP/L, INC.
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 3030 FOX HILL RD
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City | AURORA
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State | IL
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Zip | 60504-5914
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Country | US
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Telephone | 630-664-4003
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Fax | 630-851-1817
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Provider Business Mailing Address
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Address Line | 3030 FOX HILL RD
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City | AURORA
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State | IL
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Zip | 60504-5914
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Country | US
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Telephone | 630-664-4003
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Fax | 630-851-1817
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMY MARIE ROJAS
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Credential | M.A., CCC-SLP/L
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Telephone | 630-664-4003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 146007396
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License Number State | IL
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