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General NPI Number Information
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NPI Number | 1003348277
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Entity Type | Organization
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Legal Business Name | ALL ON BOARD SPEECH, LLC
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 509 HOGANS RUN
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City | COLUMBIA
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State | SC
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Zip | 29229-3372
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Country | US
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Telephone | 803-960-0401
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Fax |
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Provider Business Mailing Address
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Address Line | 509 HOGANS RUN
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City | COLUMBIA
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State | SC
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Zip | 29229-3372
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | BRITTANY HOFFMAN
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Credential | MCD, CCC-SLP
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Telephone | 803-960-0401
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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 | 5673
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License Number State | SC
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