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General NPI Number Information
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NPI Number | 1194841148
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Entity Type | Individual
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Provider Name | EMELDA LOUISE SPEEKS
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 414 HOMEPLACE DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7701
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Country | US
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Telephone | 770-367-3677
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Fax | 770-506-0174
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Provider Business Mailing Address
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Address Line | 414 HOMEPLACE DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7701
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Country | US
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Telephone | 770-367-3677
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Fax | 770-506-0174
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 529
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License Number State | LA
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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 | SLP004304
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 529
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License Number State | LA
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