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General NPI Number Information
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NPI Number | 1962536425
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Entity Type | Individual
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Provider Name | GWEN ALYSON HINRICHS M.A., SLP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 100 IMPERIAL DR UNIT 108
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City | SARASOTA
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State | FL
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Zip | 34236
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Country | US
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Telephone | 610-909-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 IMPERIAL DR UNIT 108
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City | SARASOTA
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State | FL
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Zip | 34236-2453
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Country | US
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Telephone | 610-909-0111
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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 | SL004320L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA14673
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License Number State | FL
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