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General NPI Number Information
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NPI Number | 1255632501
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Entity Type | Organization
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Legal Business Name | WORDS MATTER, LLC
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Dates
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Enumeration Date | 11/03/2010
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 358 MCLAWS CIR SUITE 1
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6344
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Country | US
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Telephone | 757-645-3339
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Fax | 757-645-4830
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Provider Business Mailing Address
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Address Line | 358 MCLAWS CIR SUITE 1
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6344
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Country | US
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Telephone | 757-645-3339
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Fax | 757-645-4830
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. JACQUELINE B JORDAN
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Credential | CCC-SLP
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Telephone | 757-645-3339
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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 | 2202000636
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License Number State | VA
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