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General NPI Number Information
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NPI Number | 1275774382
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Entity Type | Organization
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Legal Business Name | SOUND CENTER INCORPORATED
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Dates
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Enumeration Date | 03/19/2009
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 2021 MIDWEST RD STE 200
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City | OAK BROOK
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State | IL
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Zip | 60523-1342
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Country | US
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Telephone | 630-435-5622
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Fax | 630-953-8687
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Provider Business Mailing Address
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Address Line | 2021 MIDWEST RD STE 200
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City | OAK BROOK
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State | IL
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Zip | 60523-1342
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Country | US
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Telephone | 630-435-5622
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Fax | 630-953-8687
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELLE EPPLEY
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Credential | MA CCC-SLP
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Telephone | 630-435-5622
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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 | 146005646
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License Number State | IL
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