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General NPI Number Information
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NPI Number | 1104011980
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Entity Type | Organization
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Legal Business Name | ALTA SPEECH & LANGUAGE SERVICES
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 07/14/2009
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Provider Practice Location Address
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Address Line | 106 RAYLAND ST
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City | OXFORD
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State | NC
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Zip | 27565-2545
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Country | US
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Telephone | 919-632-3965
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Fax | 919-596-1425
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Provider Business Mailing Address
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Address Line | 906 OAK GROVE PKWY
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City | DURHAM
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State | NC
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Zip | 27703-2937
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Country | US
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Telephone | 919-632-3965
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Fax | 919-596-1425
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MS. TERRY TAYLOR
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Credential | CCC-SLP
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Telephone | 919-632-3965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | NC
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