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General NPI Number Information
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NPI Number | 1063957934
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Entity Type | Organization
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Legal Business Name | SAY IT AGAIN
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Dates
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Enumeration Date | 12/30/2016
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Last Update Date | 12/30/2016
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Provider Practice Location Address
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Address Line | 1 PROFESSIONAL PKWY SUITE 1B
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City | RIDGELAND
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State | MS
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Zip | 39157-4236
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Country | US
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Telephone | 601-201-9313
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Fax | 601-790-7101
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Provider Business Mailing Address
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Address Line | 1 PROFESSIONAL PKWY SUITE 1B
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City | RIDGELAND
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State | MS
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Zip | 39157-4236
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Country | US
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Telephone | 601-201-9313
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Fax | 601-790-7101
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Authorized Official
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Title or Position | SPEECH LANGUGE PATHOLOGIST
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Name | MISS DELISHA DIANE SPEECH
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Credential | CCC-SLP
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Telephone | 601-201-9313
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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 | S2982
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License Number State | MS
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