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General NPI Number Information
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NPI Number | 1013600428
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Entity Type | Organization
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Legal Business Name | COMMUNICATION STATION GA
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Dates
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Enumeration Date | 05/31/2023
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 100 N 3RD AVE STE B
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City | CHATSWORTH
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State | GA
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Zip | 30705-2942
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Country | US
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Telephone | 843-540-2494
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Fax | 706-534-9591
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Provider Business Mailing Address
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Address Line | 612 GI MADDOX PKWY
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City | CHATSWORTH
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State | GA
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Zip | 30705-2079
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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 | CO-OWNER
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Name | KELLY BARRELL
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Credential |
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Telephone | 843-540-2494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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