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General NPI Number Information
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NPI Number | 1962357020
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Entity Type | Individual
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Provider Name | SAVANAH JO VERA RESCH
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Gender | Female
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 417 EMMONSVILLE RD
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City | HATLEY
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State | WI
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Zip | 54440-9769
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Country | US
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Telephone | 715-446-3336
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Fax |
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Provider Business Mailing Address
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Address Line | 215448 LAKEFRONT DR
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City | HATLEY
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State | WI
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Zip | 54440-5139
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Country | US
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Telephone | 715-446-3336
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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 | 14336569
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License Number State | WI
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