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NPI 1043645443

NPI 1043645443 : BEYOND WORDS SPEECH THERAPY LLC : FOREST CITY, NC

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General NPI Number Information
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    NPI Number           |    1043645443
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEYOND WORDS SPEECH THERAPY LLC 
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Dates
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    Enumeration Date     |    09/05/2013
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    Last Update Date     |    02/01/2022
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Provider Practice Location Address
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    Address Line         |    671 OAK ST STE 2 
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    City                 |    FOREST CITY
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    State                |    NC
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    Zip                  |    28043-2440
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    Country              |    US
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    Telephone            |    828-287-1001
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    Fax                  |    828-229-3332
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1749 
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    City                 |    FOREST CITY
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    State                |    NC
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    Zip                  |    28043-1749
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    Country              |    US
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    Telephone            |    828-287-1001
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    Fax                  |    828-229-3332
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MR. GEORGE G LANE JR.
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    Credential           |    
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    Telephone            |    828-287-1001
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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       |    
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    License Number State |    
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