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General NPI Number Information
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NPI Number | 1154237584
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Entity Type | Individual
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Provider Name | DANIELLE GINN
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Gender |
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 9270 HIGHWAY 82 SPUR
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City | MAYSVILLE
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State | GA
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Zip | 30558-2101
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Country | US
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Telephone | 770-468-8634
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 WINDER HWY
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City | JEFFERSON
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State | GA
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Zip | 30549-5458
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Country | US
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Telephone | 770-468-8634
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | SLP007365
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License Number State | GA
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