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General NPI Number Information
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NPI Number | 1144842501
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Entity Type | Organization
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Legal Business Name | 1 2 3 SPEECH
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 1207 N BROADWAY ST
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City | KNOXVILLE
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State | TN
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Zip | 37917-6530
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Country | US
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Telephone | 423-782-7436
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Fax | 865-761-8051
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Provider Business Mailing Address
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Address Line | 1207 N BROADWAY ST
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City | KNOXVILLE
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State | TN
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Zip | 37917-6530
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Country | US
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Telephone |
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Fax | 865-761-8051
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Authorized Official
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Title or Position | OWNER
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Name | RACHELLE K GIANARIS
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Credential | MA, CCC-SLP
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Telephone | 423-782-7436
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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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