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General NPI Number Information
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NPI Number | 1295456796
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Entity Type | Organization
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Legal Business Name | AWAKEN YOUR VOICE LLC
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Dates
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Enumeration Date | 09/05/2022
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Last Update Date | 09/05/2022
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Provider Practice Location Address
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Address Line | 2510 E WESCOTT DR
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City | PHOENIX
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State | AZ
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Zip | 85050-2572
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Country | US
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Telephone | 602-702-9257
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Fax | 602-636-1887
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Provider Business Mailing Address
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Address Line | 2510 E WESCOTT DR
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City | PHOENIX
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State | AZ
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Zip | 85050-2572
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Country | US
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Telephone | 602-702-9257
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Fax | 602-636-1887
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGY ASSISTANT
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Name | CAROLA G LOVE
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Credential | SLPA
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Telephone | 602-702-9257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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