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General NPI Number Information
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NPI Number | 1003258294
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Entity Type | Organization
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Legal Business Name | TEACH SPEECH INC
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Dates
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Enumeration Date | 07/29/2013
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 94 WOODSTONE DR
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-6753
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Country | US
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Telephone | 847-624-4046
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Fax |
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Provider Business Mailing Address
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Address Line | 94 WOODSTONE DR
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-6753
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Country | US
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Telephone | 847-624-4046
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LORI NEVEL
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Credential | MS CCC/SLP
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Telephone | 847-624-4046
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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 | 146.010104
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License Number State | IL
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