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General NPI Number Information
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NPI Number | 1013689868
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Entity Type | Organization
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Legal Business Name | FIRST WORDS PEDIATRIC THERAPY LLC
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 68 SPRING STATION RD STE A
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City | ROYSTON
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State | GA
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Zip | 30662-1989
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Country | US
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Telephone | 229-821-6572
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Fax |
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Provider Business Mailing Address
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Address Line | 144 HARDIN DR
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City | ATHENS
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State | GA
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Zip | 30605-1520
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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 | SARA THRASH
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Credential | CCC-SLP
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Telephone | 229-821-6572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric 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 | 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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