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General NPI Number Information
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NPI Number | 1174416465
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Entity Type | Organization
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Legal Business Name | OLIVE BRANCH SPEECH THERAPY
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 408 MOSS CREEK CT
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City | NASHVILLE
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State | TN
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Zip | 37221-2828
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Country | US
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Telephone | 615-669-4408
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Fax | 865-424-2311
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Provider Business Mailing Address
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Address Line | 408 MOSS CREEK CT
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City | NASHVILLE
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State | TN
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Zip | 37221-2828
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Country | US
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Telephone | 615-669-4408
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, FOUNDER
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Name | SYDNEY BRIDENSTINE
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Credential |
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Telephone | 615-924-0791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #2
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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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