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General NPI Number Information
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NPI Number | 1174973085
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Entity Type | Organization
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Legal Business Name | SPEAK2METHERAPY
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Dates
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Enumeration Date | 06/21/2016
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Last Update Date | 06/21/2016
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Provider Practice Location Address
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Address Line | 5011 TOWER VIEW TRL
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City | SNELLVILLE
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State | GA
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Zip | 30039-6535
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Country | US
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Telephone | 919-656-1356
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Fax |
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Provider Business Mailing Address
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Address Line | 5011 TOWER VIEW TRL
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City | SNELLVILLE
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State | GA
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Zip | 30039-6535
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Country | US
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Telephone | 919-656-1356
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | AYATTA HUNTER-JAMES
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Credential | M.ED.,CCC-SLP
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Telephone | 919-656-1356
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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 | SLP005654
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License Number State | GA
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