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General NPI Number Information
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NPI Number | 1952885972
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Entity Type | Individual
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Provider Name | NICOLLE DANIELLE WILSON MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/17/2018
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Last Update Date | 09/17/2018
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Provider Practice Location Address
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Address Line | 1106 VICENTE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-3042
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Country | US
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Telephone | 913-461-1070
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Fax |
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Provider Business Mailing Address
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Address Line | 253 CHANNING WAY APT 13
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City | SAN RAFAEL
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State | CA
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Zip | 94903-2647
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Country | US
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Telephone | 913-461-1070
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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 | 26910
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License Number State | CA
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