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General NPI Number Information
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NPI Number | 1336329614
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Entity Type | Organization
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Legal Business Name | MILESTONES TREATMENT & LEARNING CENTER, INC
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 08/25/2024
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Provider Practice Location Address
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Address Line | 4401 CHERRY ST STE 50
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City | WINSTON SALEM
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State | NC
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Zip | 27105-2500
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Country | US
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Telephone | 336-659-0806
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Fax | 336-659-1054
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Provider Business Mailing Address
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Address Line | 4401 CHERRY ST STE 50
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City | WINSTON SALEM
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State | NC
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Zip | 27105-2500
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Country | US
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Telephone | 336-659-0806
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Fax | 336-659-1054
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST/OWNER
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Name | MRS. REBECCA SOLOMON CUMBO
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Credential | M.ED/CCC
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Telephone | 336-659-0806
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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 | 829
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License Number State | NC
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