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General NPI Number Information
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NPI Number | 1073292850
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Entity Type | Organization
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Legal Business Name | PARKE DIXON SPEECH FACTORY
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 3832 HOLLAND DR
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City | SNELLVILLE
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State | GA
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Zip | 30039-5950
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Country | US
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Telephone | 404-422-0193
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Fax |
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Provider Business Mailing Address
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Address Line | 3832 HOLLAND DR
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City | SNELLVILLE
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State | GA
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Zip | 30039-5950
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Country | US
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Telephone | 404-422-0193
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | RENEIDA YVONNE PARKER
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Credential | M.ED., CCC-SLP
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Telephone | 678-249-9956
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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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