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General NPI Number Information
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NPI Number | 1174132997
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Entity Type | Organization
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Legal Business Name | ALL SMILES THERAPY, LLC
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 114 W UNION STREET
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City | MUNFORDVILLE
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State | KY
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Zip | 42765
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Country | US
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Telephone | 270-528-6362
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Fax |
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Provider Business Mailing Address
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Address Line | 114 W UNION STREET
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City | MUNFORDVILLE
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State | KY
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Zip | 42765
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Country | US
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Telephone | 270-528-6362
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. BRITTANY WRIGHT
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Credential | SLP
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Telephone | 270-528-6362
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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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