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General NPI Number Information
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NPI Number | 1205316619
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Entity Type | Organization
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Legal Business Name | SOUND SPEECH THERAPY LLC
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 19 HALLS RD UNIT 219
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City | OLD LYME
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State | CT
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Zip | 06371-1457
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Country | US
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Telephone | 860-670-6950
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Fax |
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Provider Business Mailing Address
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Address Line | 12 HALLS RD UNIT 122
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City | OLD LYME
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State | CT
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Zip | 06371-7009
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Country | US
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Telephone | 860-670-6950
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAULA K. SIGNORA
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Credential | SLP
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Telephone | 860-670-6950
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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 | 003008
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License Number State | CT
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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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