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General NPI Number Information
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NPI Number | 1013277326
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Entity Type | Organization
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Legal Business Name | SPEECH WORKS SPEECH & LANGUAGE SERVICES
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 3695F CASCADE RD SW # 2292
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City | ATLANTA
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State | GA
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Zip | 30331-2105
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Country | US
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Telephone | 678-793-0244
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Fax |
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Provider Business Mailing Address
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Address Line | 3695F CASCADE RD SW # 2292
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City | ATLANTA
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State | GA
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Zip | 30331-2105
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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 | OWNER
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Name | FINICHIA HOSKINS
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Credential | CCC-SLP
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Telephone | 678-793-0244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | SLP006469
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License Number State | GA
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