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General NPI Number Information
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NPI Number | 1083952170
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Entity Type | Individual
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Provider Name | LASHAWN ANNETTE SIMINGTON-LEROY SLP
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Gender | Female
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 315 UPPER RIVERDALE RD SW
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City | RIVERDALE
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State | GA
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Zip | 30274-2500
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Country | US
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Telephone | 770-991-2636
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Fax |
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Provider Business Mailing Address
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Address Line | 185 ASHLAND WAY
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-1314
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Country | US
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Telephone | 678-663-6449
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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 | SLP006327
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License Number State | GA
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