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General NPI Number Information
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NPI Number | 1992924955
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Entity Type | Individual
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Provider Name | HEIDI L CORDINA S.L.P
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Gender | Female
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1616 W PORTSMITH LN
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-7957
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Country | US
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Telephone | 858-405-9050
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 W PORTSMITH LN
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-7957
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Country | US
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Telephone | 858-405-9050
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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 | SP11555
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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 | 146004767
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License Number State | IL
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