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General NPI Number Information
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NPI Number | 1265248066
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Entity Type | Organization
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Legal Business Name | ISLAND SPEECH THERAPY, LLC
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 2634A LOWREY AVE
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City | HONOLULU
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State | HI
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Zip | 96822-1675
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Country | US
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Telephone | 707-980-3310
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Fax |
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Provider Business Mailing Address
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Address Line | 758 KAPAHULU AVE, STE 100, # 1099
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City | HONOLULU
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State | HI
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Zip | 96816
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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 | OWNER
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Name | MRS. LORINDA ARECHY
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Credential | MS, CCC-SLP
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Telephone | 707-980-3310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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