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General NPI Number Information
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NPI Number | 1942609854
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Entity Type | Individual
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Provider Name | LAURIE VANDERWIELE
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Gender | Female
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Dates
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Enumeration Date | 08/15/2014
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 894 STATE HWY 107
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City | CASHIERS
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State | NC
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Zip | 28717-1462
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Country | US
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Telephone | 864-886-4470
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1462
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City | CASHIERS
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State | NC
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Zip | 28717-1462
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Country | US
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Telephone | 828-482-4125
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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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