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General NPI Number Information
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NPI Number | 1154002913
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Entity Type | Organization
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Legal Business Name | CHERRY PICKED SPEECH THERAPY LLC
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 804 OMNI BLVD STE 102
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4422
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Country | US
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Telephone | 757-206-2927
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Fax | 757-974-9226
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Provider Business Mailing Address
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Address Line | 914 TABB LAKES DR
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City | YORKTOWN
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State | VA
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Zip | 23693-4402
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Country | US
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Telephone | 757-320-9743
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDSAY CHERRY
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Credential | M.S., CCC-SLP
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Telephone | 757-320-9743
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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 |
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License Number State |
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