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General NPI Number Information
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NPI Number | 1093571804
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Entity Type | Organization
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Legal Business Name | FIRST WORDS SPEECH THERAPY, PLLC
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 4136 SPRING COVE WAY
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City | BELMONT
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State | NC
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Zip | 28012-7831
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Country | US
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Telephone | 910-273-2464
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Fax |
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Provider Business Mailing Address
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Address Line | 4136 SPRING COVE WAY
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City | BELMONT
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State | NC
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Zip | 28012-7831
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/SLP
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Name | AMANDA WALSH
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Credential | MS, CCC-SLP
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Telephone | 910-273-2464
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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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