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General NPI Number Information
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NPI Number | 1184582280
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Entity Type | Organization
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Legal Business Name | MAGNOLIA SPEECH THERAPY OF MISSISSIPPI
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 5365 HURT RD
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City | HORN LAKE
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State | MS
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Zip | 38637-4191
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Country | US
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Telephone | 150-125-9052
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Fax | 150-125-9052
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Provider Business Mailing Address
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Address Line | 5365 HURT RD
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City | HORN LAKE
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State | MS
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Zip | 38637-4191
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Country | US
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Telephone | 150-125-9052
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Fax | 150-125-9052
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | HANNAH HANNAH, GILES
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Credential | M.S., CCC-SLP
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Telephone | 501-259-0523
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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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