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General NPI Number Information
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NPI Number | 1992106678
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Entity Type | Individual
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Provider Name | JAMIE NICOLE MCKEE M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 420 GROVE ST
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City | RICHWOOD
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State | OH
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Zip | 43344-9022
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Country | US
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Telephone | 740-943-3113
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Fax |
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Provider Business Mailing Address
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Address Line | 13439 MULVANE RD
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City | RICHWOOD
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State | OH
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Zip | 43344-9008
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Country | US
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Telephone | 937-243-0099
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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 | SP. 10501
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License Number State | OH
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