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General NPI Number Information
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NPI Number | 1184112195
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Entity Type | Organization
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Legal Business Name | MORRIS SPEECH THERAPY ASSOCIATES, LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 65 COOPER ST
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City | WOODBURY
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State | NJ
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Zip | 08096-4646
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Country | US
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Telephone | 201-787-6786
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Fax | 844-231-8930
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Provider Business Mailing Address
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Address Line | 55 MADISON AVE STE 400
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7397
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Country | US
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Telephone | 201-787-6786
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Fax | 844-231-8930
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Authorized Official
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Title or Position | OWNER
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Name | MICHELE DEMAREST
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Credential | MS CCC-SLP
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Telephone | 201-787-6786
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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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