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General NPI Number Information
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NPI Number | 1366096166
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Entity Type | Organization
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Legal Business Name | SMALL TALK SPEECH THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 3150 S AVENUE A
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City | YUMA
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State | AZ
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Zip | 85364-7928
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Country | US
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Telephone | 615-975-3104
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Fax |
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Provider Business Mailing Address
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Address Line | 309 E MONROE AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22301-1622
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN ARNOLD
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Credential |
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Telephone | 615-975-3104
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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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