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General NPI Number Information
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NPI Number | 1205485489
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Entity Type | Organization
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Legal Business Name | SPEECH AND LANGUAGE FOR KIDS LLC
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 3526 SILVERSIDE RD STE 37
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City | WILMINGTON
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State | DE
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Zip | 19810-4901
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Country | US
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Telephone | 302-415-3382
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Fax | 302-351-8852
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Provider Business Mailing Address
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Address Line | 3510 SILVERSIDE RD STE 2
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City | WILMINGTON
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State | DE
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Zip | 19810-4937
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Country | US
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Telephone | 302-415-3382
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Fax | 302-351-8852
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. JENNIFER DIANE METAXAS
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Credential | MS, CCC-SLP
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Telephone | 847-852-0928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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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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