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General NPI Number Information
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NPI Number | 1235817255
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Entity Type | Organization
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Legal Business Name | A PLUS THERAPY GROUP
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 10840 DESOTO RD SUITE 102 & 104
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City | OLIVE BRANCH
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State | MS
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Zip | 38654
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Country | US
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Telephone | 901-870-7997
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Fax |
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Provider Business Mailing Address
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Address Line | 3670 COLLEGE BLF
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-5846
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Country | US
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Telephone | 901-870-7997
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | DORTHEEN DOUGLAS WADE
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Credential | MS, CCC
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Telephone | 901-870-7997
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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 |
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License Number State |
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