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General NPI Number Information
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NPI Number | 1255514543
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Entity Type | Organization
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Legal Business Name | CHATTERBOX SPEECH, LLC
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 3418 MANASSAS DR
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-3209
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Country | US
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Telephone | 618-520-2498
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Fax | 618-692-9633
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Provider Business Mailing Address
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Address Line | 3418 MANASSAS DR
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-3209
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Country | US
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Telephone | 618-520-2498
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Fax | 618-692-9633
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Authorized Official
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Title or Position | SPEECH THERAPIST
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Name | KAREN ANDERSON
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Credential | M.S. CCC/SLP-L
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Telephone | 618-520-2498
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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 | IL
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