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General NPI Number Information
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NPI Number | 1326812520
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Entity Type | Organization
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Legal Business Name | WOVEN WORDS THERAPY PLLC
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 6 GLEN ED PROFESSIONAL PARK STE B
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City | GLEN CARBON
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State | IL
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Zip | 62034-3305
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Country | US
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Telephone | 618-698-0369
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 SWORM LN
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-4917
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Country | US
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Telephone | 618-698-0369
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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 | MS. NATASHA STELLHORN
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Credential | CCC-SLP
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Telephone | 618-698-0369
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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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