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General NPI Number Information
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NPI Number | 1346710142
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Entity Type | Individual
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Provider Name | EMILY ROSE LLOYD SWAVELY MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2018
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 5825 GLENRIDGE RD. BUILDING 1, SUITE 133
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City | ATLANTA
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State | GA
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Zip | 30328
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Country | US
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Telephone | 678-733-9318
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Fax |
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Provider Business Mailing Address
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Address Line | 1704 POTOMAC RD
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City | ATLANTA
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State | GA
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Zip | 30338-6988
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Country | US
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Telephone | 484-948-0172
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 14173050
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License Number State | GA
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