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General NPI Number Information
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NPI Number | 1134752728
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Entity Type | Organization
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Legal Business Name | ALL IN ONE THERAPY, LLC
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Dates
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Enumeration Date | 02/21/2020
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 1800 W 84TH DRIVE
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City | MERRILLVILLE
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State | IN
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Zip | 46410
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Country | US
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Telephone | 708-970-6319
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Fax |
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Provider Business Mailing Address
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Address Line | 417 W 81ST AVE STE 116
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5317
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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 | CEO
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Name | KENYAHTTA GRAY
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Credential |
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Telephone | 708-970-6319
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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 |
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License Number State |
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