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General NPI Number Information
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NPI Number | 1124520184
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Entity Type | Organization
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Legal Business Name | TINY TALKERS LLC
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 185 NW FOURTH ST
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City | FLORA
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State | MS
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Zip | 39071-9761
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Country | US
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Telephone | 601-832-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 185 NW FOURTH ST
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City | FLORA
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State | MS
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Zip | 39071-9761
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Country | US
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Telephone | 601-832-8800
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Fax |
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Authorized Official
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Title or Position | SLP
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Name | MRS. ASHLEY HANCOCK
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Credential | MS, CCC-SLP
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Telephone | 601-832-8800
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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 | S3564
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License Number State | MS
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