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General NPI Number Information
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NPI Number | 1275079386
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Entity Type | Organization
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Legal Business Name | UPWORDS SPEECH THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 110 N HIGH ST STE 110
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City | GAHANNA
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State | OH
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Zip | 43230-3069
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Country | US
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Telephone | 614-401-4644
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Fax | 844-564-1402
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Provider Business Mailing Address
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Address Line | 8713 GREYLAG ST
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City | BLACKLICK
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State | OH
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Zip | 43004-7030
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Country | US
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Telephone | 614-929-8717
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Fax | 844-564-1402
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Authorized Official
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Title or Position | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | CAMILLE P. LUKE
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Credential | CCC-SLP
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Telephone | 614-929-8717
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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 | SP. 9542
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License Number State | OH
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