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General NPI Number Information
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NPI Number | 1114227386
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Entity Type | Organization
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Legal Business Name | SIMPLY SPEECH PLLC
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 301 E. FRONT ST.
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City | STATESVILLE
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State | NC
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Zip | 28677
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Country | US
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Telephone | 704-880-4340
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Fax | 704-838-1982
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Provider Business Mailing Address
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Address Line | PO BOX 1667
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City | STATESVILLE
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State | NC
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Zip | 28687
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Country | US
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Telephone | 704-880-4340
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Fax | 704-838-1982
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Authorized Official
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Title or Position | SPEECH PATHOLGIST/ OWNER
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Name | MRS. LISA MARIE GREER
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Credential | MS, CCC-SLP
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Telephone | 704-880-4340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State | NC
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