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General NPI Number Information
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NPI Number | 1285390625
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Entity Type | Organization
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Legal Business Name | SPEECH IN THE MAGIC CITY
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 2024 3RD AVE N STE 205
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City | BIRMINGHAM
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State | AL
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Zip | 35203-3319
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Country | US
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Telephone | 205-538-0579
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Fax | 205-628-8009
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Provider Business Mailing Address
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Address Line | 2024 3RD AVE N STE 205
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City | BIRMINGHAM
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State | AL
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Zip | 35203-3319
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Country | US
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Telephone | 205-538-0579
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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 | DANIELLE EFFINGER
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Credential | M.S., CCC-SLP
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Telephone | 205-401-0153
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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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