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General NPI Number Information
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NPI Number | 1356203095
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Entity Type | Organization
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Legal Business Name | PRO RESULTS 901 THERAPY GROUP
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1715 AARON BRENNER DR STE 450
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City | MEMPHIS
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State | TN
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Zip | 38120-1443
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Country | US
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Telephone | 901-461-6022
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 341471
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City | BARTLETT
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State | TN
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Zip | 38184-1471
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Country | US
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Telephone | 901-461-6022
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGY
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Name | MRS. ASHLEY J. VINSON
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Credential | M.A., CCC-SLP
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Telephone | 901-461-6022
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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 |
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License Number State |
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