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General NPI Number Information
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NPI Number | 1255839643
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Entity Type | Organization
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Legal Business Name | GLOBAL THERAPY INC
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 12/30/2022
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Provider Practice Location Address
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Address Line | 2710 COLLEGE AVE STE F
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City | ALTON
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State | IL
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Zip | 62002-4707
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Country | US
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Telephone | 618-530-7462
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ROBIN CT
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-5532
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CIERRA HALL
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Credential | CCC-SLP
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Telephone | 618-530-7462
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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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