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General NPI Number Information
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NPI Number | 1326386772
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Entity Type | Organization
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Legal Business Name | SPEECH SERVICES UNLIMITED, INC.
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Dates
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Enumeration Date | 01/18/2013
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 2310 W SAINT PAUL AVE #402
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City | CHICAGO
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State | IL
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Zip | 60647-5624
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Country | US
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Telephone | 773-294-0639
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Fax |
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Provider Business Mailing Address
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Address Line | 2310 W SAINT PAUL AVE #402
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City | CHICAGO
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State | IL
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Zip | 60647-5624
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Country | US
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Telephone | 773-294-0639
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. LISA LISOWSKI
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Credential |
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Telephone | 773-294-0639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 146003965
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License Number State | IL
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