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General NPI Number Information
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NPI Number | 1235463860
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Entity Type | Organization
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Legal Business Name | ASPIRATIONS THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 137 BEECHWOOD DR
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City | HATTIESBURG
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State | MS
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Zip | 39402-1442
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Country | US
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Telephone | 601-466-0876
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Fax | 601-579-0283
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Provider Business Mailing Address
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Address Line | 137 BEECHWOOD DR
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City | HATTIESBURG
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State | MS
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Zip | 39402-1442
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Country | US
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Telephone | 601-466-0876
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Fax | 601-579-0283
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. JENNIFER FARRAGUT MARTIN
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Credential | CCC-SLP
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Telephone | 601-466-0876
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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 | S2463
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License Number State | MS
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