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General NPI Number Information
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NPI Number | 1083407845
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Entity Type | Organization
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Legal Business Name | ANDERSON THERAPY GROUP SPEECH LLC
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1655 N GLADSTONE AVE STE B
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City | COLUMBUS
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State | IN
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Zip | 47201-5380
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Country | US
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Telephone | 812-344-9274
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Fax |
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Provider Business Mailing Address
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Address Line | 1655 N GLADSTONE AVE STE B
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City | COLUMBUS
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State | IN
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Zip | 47201-5380
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Country | US
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Telephone | 463-304-7733
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Fax | 463-304-7734
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Authorized Official
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Title or Position | OWNER/ SLP
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Name | HOLLY ANDERSON
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Credential | CCC-SLP
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Telephone | 812-344-9274
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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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