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General NPI Number Information
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NPI Number | 1972360493
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Entity Type | Individual
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Provider Name | CHERYL FITZGERALD MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/01/2024
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 4338 HEIRLOOM ROSE PL
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City | OVIEDO
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State | FL
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Zip | 32766-6680
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Country | US
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Telephone | 201-835-2551
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Fax |
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Provider Business Mailing Address
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Address Line | 4338 HEIRLOOM ROSE PL
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City | OVIEDO
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State | FL
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Zip | 32766-6680
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Country | US
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Telephone | 201-835-2551
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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 | 35799
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License Number State | CA
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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 | 20247
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 41YS00441500
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | O1-0012328
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License Number State | DE
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