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General NPI Number Information
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NPI Number | 1073803821
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Entity Type | Individual
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Provider Name | JOAN CATHERINE EMERSON MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 25 GLENLAKE PKWY
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City | ATLANTA
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State | GA
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Zip | 30328-3403
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Country | US
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Telephone | 800-892-8640
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Fax |
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Provider Business Mailing Address
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Address Line | 2943 GREENWILLOW DR NE
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City | ATLANTA
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State | GA
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Zip | 30345-3717
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Country | US
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Telephone | 404-895-6998
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | SLP007437
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License Number State | GA
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