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General NPI Number Information
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NPI Number | 1114161312
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Entity Type | Organization
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Legal Business Name | CANDID THERAPY SOLUTIONS CONSULTING, LLC
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Dates
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Enumeration Date | 05/01/2009
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Last Update Date | 05/01/2009
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Provider Practice Location Address
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Address Line | 803 OGLETHORPE DR NE
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City | ATLANTA
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State | GA
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Zip | 30319-2779
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Country | US
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Telephone | 404-819-4632
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Fax |
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Provider Business Mailing Address
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Address Line | 803 OGLETHORPE DR NE
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City | ATLANTA
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State | GA
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Zip | 30319-2779
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Country | US
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Telephone | 404-819-4632
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BELINDA C WEIR
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Credential | M.A. CCC-SLP
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Telephone | 404-819-4632
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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 | SLP006728
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License Number State | GA
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