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General NPI Number Information
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NPI Number | 1205405149
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Entity Type | Organization
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Legal Business Name | CAROLINE GAMMILL, NEURO SLP, LLC
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Dates
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Enumeration Date | 06/24/2021
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Last Update Date | 06/24/2021
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Provider Practice Location Address
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Address Line | 3377 LAKELAND DR
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City | MADISON
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State | AL
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Zip | 35756-4088
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Country | US
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Telephone | 256-202-4151
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Fax |
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Provider Business Mailing Address
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Address Line | 3377 LAKELAND DR
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City | MADISON
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State | AL
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Zip | 35756-4088
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Country | US
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Telephone | 256-202-4151
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLINE GAMMILL
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Credential | SLPD, CCC-SLP, CBIS
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Telephone | 256-318-5570
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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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