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General NPI Number Information
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NPI Number | 1285961862
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Entity Type | Organization
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Legal Business Name | ABBEVILLE HEARING AND SPEECH ASSOCIATES,INC
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 401 N SAINT CHARLES ST BLDG B
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City | ABBEVILLE
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State | LA
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Zip | 70510-4770
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Country | US
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Telephone | 337-898-2742
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Fax | 337-898-2660
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Provider Business Mailing Address
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Address Line | 401 N SAINT CHARLES ST BLDG B
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City | ABBEVILLE
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State | LA
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Zip | 70510-4770
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Country | US
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Telephone | 337-898-2742
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Fax | 337-898-2660
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Authorized Official
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Title or Position | SPEECH THERAPIST
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Name | DIANNA MARIE DUCOTE
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Credential | MS,CCC-SLP
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Telephone | 337-898-2742
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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 | 569
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License Number State | LA
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