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General NPI Number Information
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NPI Number | 1134519655
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Entity Type | Organization
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Legal Business Name | COMMUNICARE THERAPY SERVICES
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 02/04/2015
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Provider Practice Location Address
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Address Line | 324 STEVENS ENTRY STE A-1
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-1325
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Country | US
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Telephone | 678-852-0282
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Fax |
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Provider Business Mailing Address
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Address Line | 324 STEVENS ENTRY STE A-1
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-1325
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Country | US
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Telephone | 678-852-0282
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Fax |
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Authorized Official
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Title or Position | SPEECH AND LANGUAGE PATHOLOGIST
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Name | COURTNEY HARBOUR
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Credential |
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Telephone | 678-668-0440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | SLP008630
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License Number State | GA
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