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General NPI Number Information
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NPI Number | 1053956763
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Entity Type | Organization
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Legal Business Name | LANGUAGE FOR LIFE, PC
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 515 COLLEGE RD
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City | GREENSBORO
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State | NC
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Zip | 27410-5194
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Country | US
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Telephone | 716-912-1474
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Fax |
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Provider Business Mailing Address
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Address Line | 4 WINTERTON CT
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City | GREENSBORO
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State | NC
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Zip | 27455-1153
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Country | US
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Telephone | 716-912-1474
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHANNON N DALKEY
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Credential | CCC-SLP
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Telephone | 716-912-1474
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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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