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General NPI Number Information
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NPI Number | 1265892715
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Entity Type | Organization
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Legal Business Name | BEYOND WORDS THERAPY SERVICES
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 1090 MONTCLAIR WAY
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City | SNELLVILLE
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State | GA
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Zip | 30078-7323
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Country | US
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Telephone | 404-500-9449
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Fax |
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Provider Business Mailing Address
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Address Line | 1090 MONTCLAIR WAY
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City | SNELLVILLE
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State | GA
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Zip | 30078-7323
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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 | SPEECH LANGUAGE PATHOLOGIST
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Name | JANELLE BINGHAM
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Credential | M.ED. CCC-SLP
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Telephone | 404-500-9449
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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 | SLP008593
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License Number State | GA
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