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General NPI Number Information
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NPI Number | 1033661905
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Entity Type | Organization
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Legal Business Name | ALL BRIGHT SPEECH THERAPY
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 1957 W DICKENS AVE
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City | CHICAGO
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State | IL
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Zip | 60614-3934
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Country | US
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Telephone | 312-848-6315
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Fax | 877-227-0804
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Provider Business Mailing Address
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Address Line | 1957 W DICKENS AVE
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City | CHICAGO
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State | IL
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Zip | 60614-3934
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Country | US
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Telephone | 312-848-6315
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Fax | 877-227-0804
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AMANDA ALBRIGHT
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Credential |
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Telephone | 312-848-6315
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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 | 146008671
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License Number State | IL
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