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General NPI Number Information
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NPI Number | 1366131179
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Entity Type | Organization
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Legal Business Name | NORTH CANTON SPEECH
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 3720 DRESSLER RD NW
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City | CANTON
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State | OH
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Zip | 44718-2700
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Country | US
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Telephone | 234-208-6268
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Fax | 330-791-4020
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Provider Business Mailing Address
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Address Line | 4880 TIMBERCREEK CIR
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City | NORTH CANTON
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State | OH
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Zip | 44720-1252
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Country | US
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Telephone | 234-208-6268
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Fax |
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Authorized Official
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Title or Position | OWNER/SLP
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Name | REBECCA MOORE
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Credential |
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Telephone | 234-208-6268
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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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