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General NPI Number Information
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NPI Number | 1225253479
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Entity Type | Organization
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Legal Business Name | TALK TIME SPEECH THERAPY, INC
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Dates
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Enumeration Date | 04/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 534 WALNUT LN
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City | LOWELL
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State | IN
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Zip | 46356-1665
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Country | US
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Telephone | 219-696-6432
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Fax | 219-696-6432
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Provider Business Mailing Address
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Address Line | 534 WALNUT LN
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City | LOWELL
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State | IN
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Zip | 46356-1665
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Country | US
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Telephone | 219-696-6432
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Fax | 219-696-6432
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Authorized Official
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Title or Position | PRESIDENT
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Name | JANE BRADY
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Credential |
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Telephone | 219-696-6432
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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 | 22003480A
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License Number State | IN
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