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General NPI Number Information
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NPI Number | 1922705284
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Entity Type | Individual
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Provider Name | DANIELLE GARRETT WEKO M.ED., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 09/22/2024
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Provider Practice Location Address
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Address Line | 78 MEDICAL CENTER CIR
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2272
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Country | US
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Telephone | 540-332-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1016 TOWNE LN
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-3172
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Country | US
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Telephone | 434-941-7993
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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 | 2202010631
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License Number State | VA
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