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General NPI Number Information
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NPI Number | 1912266016
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Entity Type | Organization
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Legal Business Name | ANNE H LOUGHRIDGE, SPEECH-LANGUAGE PATHOLOGIST, PL
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 1415 PANTHER LN SUITE 240
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City | NAPLES
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State | FL
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Zip | 34109-7874
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Country | US
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Telephone | 239-591-6641
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Fax | 239-591-6741
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Provider Business Mailing Address
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Address Line | 1415 PANTHER LN SUITE 240
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City | NAPLES
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State | FL
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Zip | 34109-7874
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Country | US
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Telephone | 239-591-6641
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Fax | 239-591-6741
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Authorized Official
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Title or Position | SOLE MBR
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Name | ANNE HALSTED LOUGHRIDGE
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Credential | M.A., CCC-SLP
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Telephone | 239-591-6641
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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 | SA 125
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License Number State | FL
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