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General NPI Number Information
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NPI Number | 1316526205
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Entity Type | Organization
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Legal Business Name | SPEAKING OF SPEECH AND LANGUAGE THERAPY LLC
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 12725 W INDIAN SCHOOL RD STE E
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City | AVONDALE
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State | AZ
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Zip | 85392-9520
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Country | US
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Telephone | 602-456-7199
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Fax | 602-742-2739
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Provider Business Mailing Address
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Address Line | PO BOX 7771
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City | GOODYEAR
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State | AZ
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Zip | 85338-0647
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Country | US
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Telephone | 602-456-7199
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Fax | 602-742-2739
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Authorized Official
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Title or Position | OWNER, SPEECH LANGUAGE PATHOLOGIST
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Name | KENEDI GENESY
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Credential | CCC-SLP
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Telephone | 601-906-1118
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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 | 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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