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General NPI Number Information
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NPI Number | 1003055351
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Entity Type | Organization
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Legal Business Name | AUNTIE MS SPEECH SERVICES LLC
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 01/07/2019
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Provider Practice Location Address
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Address Line | 118 W MULBERRY ST D
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City | GOLDSBORO
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State | NC
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Zip | 27530-3656
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Country | US
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Telephone | 919-920-9884
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Fax | 855-854-4447
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Provider Business Mailing Address
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Address Line | 118 W MULBERRY ST D
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City | GOLDSBORO
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State | NC
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Zip | 27530-3656
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Country | US
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Telephone | 919-920-9884
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Fax | 855-854-4447
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARY ELIZABETH BISHOP
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Credential | M.ED., CCC
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Telephone | 919-920-9884
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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 |
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License Number State |
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