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General NPI Number Information
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NPI Number | 1205339223
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Entity Type | Organization
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Legal Business Name | NEW DISCOVERY SPEECH AND LANGUAGE, PLLC
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Dates
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Enumeration Date | 03/15/2018
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Last Update Date | 03/15/2018
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Provider Practice Location Address
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Address Line | 1923 NORTHROP DR
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City | WHITSETT
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State | NC
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Zip | 27377-9142
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Country | US
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Telephone | 678-782-0108
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Fax |
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Provider Business Mailing Address
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Address Line | 1923 NORTHROP DR
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City | WHITSETT
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State | NC
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Zip | 27377-9142
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Country | US
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Telephone | 678-782-0108
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRITTANY CLARK
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Credential |
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Telephone | 678-782-0108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number |
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License Number State | NC
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