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General NPI Number Information
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NPI Number | 1114447729
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Entity Type | Organization
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Legal Business Name | DAVIES SPEECH-LANGUAGE SERVICES, LLC
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 06/23/2017
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Provider Practice Location Address
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Address Line | 1984 NW THOMSEN LN
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City | MCMINNVILLE
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State | OR
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Zip | 97128-2522
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Country | US
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Telephone | 541-914-6590
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Fax |
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Provider Business Mailing Address
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Address Line | 1984 NW THOMSEN LN
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City | MCMINNVILLE
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State | OR
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Zip | 97128-2522
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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 | SLP
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Name | JENNIFER LEE DAVIES
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Credential | MS, CCC-SLP
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Telephone | 541-914-6590
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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 | 015574
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License Number State | OR
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